Service Accessibility Standards. The Contractor and its network providers/subcontractors shall provide or arrange for Primary Care coverage services, consultation or referral, and treatment of emergency medical conditions, twenty-four hours per day, seven days per week as defined in the MHN Policy and Procedure Guide. Automatic referral to the hospital emergency department for services does not satisfy this requirement. Members must be allowed to obtain emergency services outside the Network regardless of whether the PCP referred the member to the provider that furnished the services. The Rights of Members, as detailed in the MHN Policy and Procedure Guide, shall always be taken into account when rendering treatment. The Contractor and its network providers/subcontractors shall ensure access to health care services (distance traveled, waiting time, length of time to obtain an appointment, after-hour care) in accordance with the prevailing medical community standards in the provision of services under this Contract. The SCDHHS will monitor the Contractor's service accessibility. The Contractor shall provide available, accessible and adequate numbers of service locations, service sites, professional, allied and para-medical personnel for the provision of primary care services on a 24-hour-a-day, 7-days-a week basis, as described in the Medical Homes Network Standards and the MHN Policy and Procedure Guide, and shall take corrective action if there is failure to comply by any provider. At a minimum, this shall include:
Service Accessibility Standards. The Contractor will establish and implement mechanisms to ensure that network providers comply with the access and timely appointment availability requirements set forth herein. The Contractor will monitor access and availability standards of the network to determine compliance and take corrective action if there is a failure to comply. The Contractor agrees to comply with any requests for data from the EOHHS’ External Quality Review Organization (EQRO) in the conduct of any access-related focused studies.
Service Accessibility Standards. The Contractor and its network providers/subcontractors shall ensure access to health care services (distance traveled, waiting time, length of time to obtain an appointment, after-hour care) in accordance with the prevailing medical community standards in the provision of services under this Contract. SCDHHS will monitor the Contractor's service accessibility. The Contractor shall provide available, accessible and adequate numbers of institutional facilities, service locations, service sites, professional, allied and para-medical personnel for the provision of covered services, including all emergency services, on a 24-hour-a-day, 7-days-a week basis, and shall take corrective action if there is failure to comply by any provider.
Service Accessibility Standards. 2.10.01 Twenty-Four Hour Coverage Contractor agrees to provide coverage, either directly or through its PCPs, to members on a twenty-four (24) hours per day, seven (7) days per week basis. If PCPs are to provide such coverage, Contractor agrees to have a back-up plan for instances where the PCP is not available. Contractor also agrees to have written policies and procedures describing how members and providers can contact the Contractor to receive instructions for treatment of an emergent or urgent medical problem.
Service Accessibility Standards. The CCN shall assist DHH in providing primary care access to all CCN members for Medicaid State Plan health care services through referral and coordination of such services in accordance with the CCN-
Service Accessibility Standards. The CCN shall ensure access to health care services (distance traveled, waiting time, length of time to obtain an appointment, after-hour care) in accordance with the CCN-P Policy and Procedure Guide in the provision of services under this Provider Agreement. DHH will monitor the CCN's service accessibility. The CCN shall provide available, accessible and adequate numbers of institutional facilities, service locations, service sites, and professional, allied and para-medical personnel for the provision of core benefits and services, including all emergency services, on a 24-hour-a-day, 7-days-a week basis, and shall take corrective action if there is failure to comply by any provider. At a minimum, this shall include:
Service Accessibility Standards. The Contractor and its network Providers/Subcontractors shall ensure access to health care services (distance traveled, waiting time, length of time to obtain an appointment, after-hour care) in accordance with the prevailing medical community standards for the services provided under this Contract. The Department will monitor the Contractor's service accessibility. The Contractor shall provide available, accessible and adequate numbers of institutional facilities, service locations, service sites, and professional, allied and para-medical personnel for the provision of Covered Services, including all Emergency Services, on a 24-hour-a-day, 7-days-a-week basis, and shall take corrective action if any provider fails to comply. At a minimum, this shall include:
