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Common use of Specialty Care Clause in Contracts

Specialty Care. The MCO must provide or arrange for necessary specialty care, including women’s health services. In accordance with 42 CFR §438.206(b)(2), the MCO must allow women direct access to a women’s health specialist (e.g., gynecologist, certified nurse midwife) within the network for women’s routine and preventive health care services, in addition to direct access to a PCP for routine services, if the PCP is not a women’s health specialist. The MCO must have a policy encouraging provider consideration of beneficiary input in the provider’s proposed treatment plan.

Appears in 7 contracts

Samples: Purchase of Service Provider Agreement, Purchase of Service Provider Agreement, Purchase of Service Provider Agreement

Specialty Care. The MCO must provide or arrange for necessary specialty care, including women’s health services. In accordance with 42 CFR §438.206(b)(2), the The MCO must allow women direct access to a women’s health specialist (e.g., gynecologist, certified nurse midwife) within the network for women’s routine and preventive health care services, in addition to direct access to a PCP primary care physician for routine services, if the PCP primary care provider is not a women’s health specialist. The MCO must should have a policy encouraging provider consideration of beneficiary input in the provider’s proposed treatment plan.

Appears in 7 contracts

Samples: Purchase of Service Provider Agreement, Purchase of Service Provider Agreement, Purchase of Service Provider Agreement

Specialty Care. The MCO must provide or arrange for necessary specialty care, including behavioral health services, SUD services, women’s health services, and CSED services (if applicable). In accordance with 42 CFR §438.206(b)(2), the MCO must allow women direct access to a women’s health specialist (e.g., gynecologist, certified nurse midwife) within the network for women’s routine and preventive health care services, in addition to direct access to a PCP for routine services, if the PCP is not a women’s health specialist. The MCO must have a policy encouraging provider consideration of beneficiary input in the provider’s proposed treatment plan.

Appears in 3 contracts

Samples: Purchase of Service Provider Agreement, Purchase of Service Provider Agreement, Purchase of Service Provider Agreement

Specialty Care. The MCO must provide or arrange for necessary specialty care, including behavioral health services, SUD services, women’s health services, and SED services (if applicable). In accordance with 42 CFR §438.206(b)(2), the The MCO must allow women direct access to a women’s health specialist (e.g., gynecologist, certified nurse midwife) within the network for women’s routine and preventive health care services, in addition to direct access to a PCP for routine services, if the PCP is not a women’s health specialist. The MCO must should have a policy encouraging provider consideration of beneficiary input in the provider’s proposed treatment plan.

Appears in 2 contracts

Samples: Purchase of Service Provider Agreement, Purchase of Service Provider Agreement

Specialty Care. The MCO must provide or arrange for necessary specialty care, including women’s health services. In accordance with 42 CFR §438.206(b)(2), the The MCO must allow women direct access to a women’s health specialist (e.g., gynecologist, certified nurse midwife) within the network for women’s routine and preventive health care services, in addition to direct access to a PCP for routine services, if the PCP is not a women’s health specialist. The MCO must should have a policy encouraging provider consideration of beneficiary input in the provider’s proposed treatment plan.

Appears in 2 contracts

Samples: Purchase of Service Provider Agreement, Purchase of Service Provider Agreement

Specialty Care. The MCO must provide or arrange for necessary specialty care, including behavioral health services, SUD services, and women’s health services. In accordance with 42 CFR §438.206(b)(2), the The MCO must allow women direct access to a women’s health specialist (e.g., gynecologist, certified nurse midwife) within the network for women’s routine and preventive health care services, in addition to direct access to a PCP primary care physician for routine services, if the PCP primary care provider is not a women’s health specialist. The MCO must should have a policy encouraging provider consideration of beneficiary input in the provider’s proposed treatment plan.

Appears in 2 contracts

Samples: Purchase of Service Provider Agreement, Purchase of Service Provider Agreement

Specialty Care. The MCO must provide or arrange for necessary specialty care, including behavioral health services, SUD services, women’s health services, and SED services (if applicable). In accordance with 42 CFR §438.206(b)(2), the MCO must allow women direct access to a women’s health specialist (e.g., gynecologist, certified nurse midwife) within the network for women’s routine and preventive health care services, in addition to direct access to a PCP for routine services, if the PCP is not a women’s health specialist. The MCO must have a policy encouraging provider consideration of beneficiary input in the provider’s proposed treatment plan.

Appears in 1 contract

Samples: Purchase of Service Provider Agreement