Twenty-Four Hour Coverage. The Contractor must provide access to medical and behavioral health services and coverage to members either directly or through their PCP on a twenty-four (24) hours a day, seven (7) days a week basis. The Contractor must educate members on how to access services after regular business hours and on weekends. The Contractor may satisfy this requirement by requiring all PCPs to assume the primary responsibility for 24/7 after hours on call telephone services.
Twenty-Four Hour Coverage. DVHA must ensure that emergency coverage is available to enrollees on a twenty-four hour per day, seven-day per week basis. Coverage may be delegated to subcontractors, including IGA partners, but DVHA must maintain procedures for monitoring coverage to ensure twenty-four-hour availability.
Twenty-Four Hour Coverage. The Contractor shall maintain adequate provider network coverage to serve the entire eligible FAMIS populations in geographically accessible locations within the region twenty-four (24) hours per day, seven (7) days a week. The Contractor shall make arrangements to refer patients seeking care after regular business hours to a covering physician or shall direct the member to go to the emergency room when a covering physician is not available. Such referrals may be made via a recorded message. In accordance with the Code of Virginia § 38.2 - 4312.3 as amended, the Contractor shall maintain after-hours telephone service, staffed by appropriate medical personnel, which includes access to a physician on call, a primary care physician, or a member of a physician group for the purpose of rendering medical advice, determining the need for emergency and other after-hours services, authorizing care, and verifying member enrollment with the Contractor.
Twenty-Four Hour Coverage. The OVHA must ensure that coverage is available to enrollees on a twenty-four hour per day, seven day per week basis. Coverage may be delegated to the subcontracted Departments, but the OVHA must maintain procedures for monitoring coverage to ensure twenty-four hour availability. The OVHA will collaborate with the AHS to develop a toll-free Nurse Advice Line, through which enrollees with urgent or emergent medical problems can obtain guidance twenty-four hours per day, seven days per week.
Twenty-Four Hour Coverage. The Contractor shall maintain adequate provider network coverage to serve the entire eligible FAMIS populations in geographically accessible locations within the region twenty-four (24) hours per day, seven (7) days a week. The Contractor shall make arrangements to refer patients seeking care after regular business hours to a covering physician or shall direct the member to go to the emergency room when a covering physician is not available. Such referrals may be made via a recorded message. In accordance with the Code of Virginia § 38.2 - 4312.3 as amended, the Contractor shall maintain after-hours telephone service, staffed by appropriate medical personnel, which includes access to a physician on call, a primary care physician, or a member of a physician group for the purpose of rendering medical advice, determining the need for emergency and other after-hours services, authorizing care, and verifying member enrollment with the Contractor.
