Referrals. The PH-MCO must establish and maintain a referral process to effectively utilize and manage the care of its Members. The PH-MCO may require a referral for any medical services, which cannot be provided by the PCP except where specifically provided for in this Agreement.
Appears in 10 contracts
Samples: Healthchoices Physical Health Grant Agreement, Grant Agreement, Grant Agreement
Referrals. The PH-MCO must is required to establish and maintain a referral process to effectively utilize and manage the care of its Members. The PH-MCO may require a referral for any medical services, which cannot be provided by the PCP except where specifically provided for in this Agreement.
Appears in 5 contracts
Samples: Grant Agreement, Grant Agreement, Grant Agreement
Referrals. The PHCHC-MCO must establish and maintain a referral process to effectively utilize and manage the care of its MembersParticipants. The PHCHC-MCO may require a referral for any medical services, which services that cannot be provided by the PCP except where specifically provided for otherwise in this Agreement.
Appears in 2 contracts
Samples: Community Healthchoices Agreement, Community Healthchoices Agreement
Referrals. The PHCHC-MCO must establish and maintain a referral process to effectively utilize and manage the care of its MembersParticipants. The PHCHC-MCO may require a referral for any medical services, which services that cannot be provided by the PCP PCP, except where specifically provided for otherwise in this Agreement.
Appears in 1 contract
Samples: Community Healthchoices Agreement
Referrals. The PH-MCO must establish and maintain a referral process to effectively utilize and manage the care of its Members. The PH-PH- MCO may require a referral for any medical services, which cannot be provided by the PCP except where specifically provided for in this Agreement.
Appears in 1 contract
Samples: Healthchoices Agreement
Referrals. β The PHCHC-MCO must establish and maintain a referral process to effectively utilize and manage the care of its MembersParticipants. The PHCHC-MCO may require a referral for any medical services, which services that cannot be provided by the PCP PCP, except where specifically provided for otherwise in this Agreement.
Appears in 1 contract
Samples: Community Healthchoices Agreement