Standing Referrals. The Contractor will implement policies and procedures to allow for standing referrals to specialist physicians for Enrollees who have ongoing needs for care from such specialists, consistent with PHL Section 4403(6)(b).
Appears in 10 contracts
Samples: Primary Care Partial Capitation Provider (Pcpcp) Medicaid Managed Care Model Contract, Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.), Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)
Standing Referrals. The Contractor will implement policies and procedures to allow for standing referrals to specialist physicians for Enrollees who have ongoing needs for care from such specialists, consistent with PHL Section § 4403(6)(b).
Appears in 2 contracts
Samples: Hiv Special Needs Plan Model Contract, Hiv Special Needs Plan Model Contract
Standing Referrals. The Contractor will implement policies and procedures to allow for standing referrals to specialist physicians for Enrollees who have ongoing needs for care from such specialists, consistent with PHL P. H. L. Section 4403(6)(b).
Appears in 1 contract
Standing Referrals. The Contractor will implement policies and procedures to allow for standing referrals to specialist physicians for or Enrollees who have ongoing needs for care from such specialists, consistent with PHL Section 4403(6)(b).
Appears in 1 contract
Samples: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)
Standing Referrals. The Contractor will implement policies and procedures to allow for standing referrals to specialist physicians participating specialists for Enrollees who have ongoing needs for care from such specialists, consistent with PHL P.H.L Section 4403(6)(b) unless the Contractor does not have a specialist qualified to meet a particular enrollee's needs. In such case, the Contractor shall make a referral to an appropriate provider consistent with P.H.L. Section 4403(6)(a) or Insurance Law Section 4804 (b).
Appears in 1 contract
Samples: Consultant Services Agreement (Wellcare Health Plans, Inc.)
Standing Referrals. The Contractor will implement policies and procedures to allow for standing referrals to specialist physicians for Enrollees who have ongoing needs for care from such specialists, consistent with PHL Section 4403(6)(b§ 4403 (6)(b).
Appears in 1 contract
Samples: Medicaid Managed Care Contract (Wellcare Health Plans, Inc.)
