Common use of Specialists as PCPs Clause in Contracts

Specialists as PCPs. The Contractor shall offer pregnant Enrollees and Enrollees with Chronic Health Conditions, disabilities, or special health care needs the option of choosing a specialist to be their PCP or medical home. Such Enrollees or their Providers may request a specialist as a PCP at any time. The Contractor shall contact the Enrollee promptly after the request to determine whether the Enrollee needs a specialist as a PCP. The Contractor’s Medical Director will approve or deny requests after determining whether the Enrollee meets criteria and whether the specialist is willing to fulfill the role and all the obligations of PCP or medical home.

Specialists as PCPs. The Contractor shall offer pregnant Enrollees and Enrollees with Chronic Health Conditions, disabilities, or special health care needs the option of choosing a specialist to be their PCP or medical homeMedical Home. Such Enrollees or their Providers may request a specialist as a PCP at any time. The Contractor shall contact the Enrollee promptly after the request to determine whether the Enrollee needs a specialist as a PCP. The Contractor’s Medical Director will approve or deny requests after determining whether the Enrollee meets criteria and whether the specialist is willing to fulfill the role and all the obligations of PCP or medical homeMedical Home.

Specialists as PCPs. The Contractor shall offer pregnant Enrollees and Enrollees with Chronic Health Conditions, disabilities, or special health care healthcare needs the option of choosing a specialist to be their PCP or medical homePCP. Such Enrollees or their Providers may request a specialist as a PCP at any time. The Contractor shall contact the Enrollee promptly after the request to determine whether the Enrollee needs a specialist as a PCPschedule an assessment. The Contractor’s Medical Director medical director will approve or deny requests after determining whether the Enrollee meets criteria and whether the specialist is willing to fulfill the role and all the obligations of PCP or medical home.a PCP.‌

Specialists as PCPs. The Contractor shall offer pregnant Enrollees and Enrollees with Chronic Health Conditions, disabilities, or special health care needs the option of choosing a specialist to be their PCP or medical homeMedical Home. Such Enrollees or their Providers may request a specialist as a PCP at any time. The Contractor shall contact the Enrollee promptly after the request to determine whether the Enrollee needs a specialist as a PCPschedule an assessment. The Contractor’s Medical Director will approve or deny requests after determining whether that the Enrollee meets criteria and whether the specialist is willing to fulfill the role and all the obligations of PCP or medical homeMedical Home.

Specialists as PCPs. The Contractor shall offer pregnant Enrollees and Enrollees with Chronic Health Conditions, disabilities, or special health care needs the option of choosing a specialist to be their PCP or medical homePCP. Such Enrollees or their Providers may request a specialist as a PCP at any time. The Contractor shall contact the Enrollee promptly after the request to determine whether the Enrollee needs a specialist as a PCPschedule an assessment. The Contractor’s Medical Director will approve or deny requests after determining whether that the Enrollee meets criteria and whether the specialist is willing to fulfill the role and all the obligations of PCP or medical homePCP.

Specialists as PCPs. The Contractor shall offer pregnant Enrollees and Enrollees with Chronic Health Conditions, disabilities, or special health care healthcare needs the option of choosing a specialist to be their PCP or medical homePCP. Such Enrollees or their Providers may request a specialist as a PCP at any time. The Contractor shall contact the Enrollee promptly after the request to determine whether the Enrollee needs a specialist as a PCPschedule an assessment. The Contractor’s Medical Director medical director will approve or deny requests after determining whether the Enrollee meets criteria and whether the specialist is willing to fulfill the role and all the obligations of PCP or medical homea PCP.