Specialist and Sub-specialist as PCPs. The Contractor is permitted to use specialist and sub-specialist physicians as PCPs when such an action is considered by the Contractor to be medically appropriate and cost-effective. As an alternative, the Contractor may restrict it's PCP network to primary care specialties only, while relying on standing referrals to specialists and sub-specialists for Enrollees who require regular visits to such physicians.
Appears in 6 contracts
Samples: Contractor Agreement (Americhoice Corp), Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.), Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)
Specialist and Sub-specialist as PCPs. The Contractor is permitted to use specialist and sub-specialist physicians as PCPs when such an action is considered by the Contractor to be medically appropriate and cost-effective. As an alternative, the Contractor may restrict it's its PCP network to primary care specialties only, while relying and rely on standing referrals to specialists and sub-specialists for Enrollees who require regular visits to such physicians.
Appears in 1 contract
Samples: Primary Care Partial Capitation Provider (Pcpcp) Medicaid Managed Care Model Contract
Specialist and Sub-specialist as PCPs. The Contractor is permitted to use specialist specialist, and sub-specialist physicians physician as PCPs when such an action is considered by the Contractor to be medically appropriate and cost-effective. As an alternative, the Contractor may restrict it's PCP network to primary care specialties specialist only, while relying on standing referrals to specialists and sub-specialists for Enrollees who require regular visits to such physicians.
Appears in 1 contract
Samples: Medicaid Managed Care Model Contract (Amerigroup Corp)
Specialist and Sub-specialist as PCPs. The Contractor is permitted to use specialist and sub-specialist physicians as PCPs when such an action is considered by the Contractor to be medically appropriate and cost-effective. As an alternative, the Contractor may restrict it's its PCP network to primary care specialties only, while relying and rely on standing referrals to specialists and sub-specialists for Enrollees who require regular visits to such physicians.
Appears in 1 contract
Specialist and Sub-specialist as PCPs. The Contractor is permitted to use specialist and sub-specialist physicians as PCPs when such an action is considered by the Contractor to be medically appropriate and cost-effective. As an alternative, the Contractor may restrict it's PCP network to primary care specialties only, while relying on standing referrals to specialists and sub-sub- specialists for Enrollees who require regular visits to such physicians.
Appears in 1 contract
Samples: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)
