Types of Primary Care Providers (PCPs. The MCO is required to contract with a mix of PCPs to ensure the primary care needs of adult and pediatric enrollees are met. The MCO may designate the following providers as PCPs, as appropriate: • Certified nurse midwives8; • Advanced practice nurses (e.g., nurse practitioners (NP)); • Physician Assistants (PA); and • Physicians with the following specialties: General practice; Family practice; Internal medicine; Obstetrics/Gynecology; and Pediatrics.
Types of Primary Care Providers (PCPs. The MCO is required to contract with a mix of PCPs to ensure the primary care needs of all enrollees are met. The MCO may designate the following providers as PCPs, as appropriate: • Certified nurse xxxxxxxx0; • Advanced practice nurses (e.g. nurse practitioners (NP)8); • Physician assistants; and • Physicians with the following specialties: General practice; Family practice; Internal medicine; Obstetrics/Gynecology; and Pediatrics. The MCO will be allowed to designate physicians outside of these specialties as PCPs for specific individuals including those within the disabled population whose underlying health conditions are best managed by specialists. The MCO must permit any certified nurse midwife, advanced practice nurse or PA, who is otherwise permitted within the scope of their practice, and who is a Medicaid enrolled provider, to be designated a PCP for an enrollee and bill independently.
Types of Primary Care Providers (PCPs. The MCO is required to contract with a mix of PCPs to ensure the primary care needs of adult and pediatric enrollees are met. The MCO may designate the following providers as PCPs, as appropriate: • Certified nurse midwives8; • Advanced practice nurses (e.g. nurse practitioners (NP)); • Physician Assistants (PA); and • Physicians with the following specialties: General practice; Family practice; Internal medicine; Obstetrics/Gynecology; and Pediatrics. The MCO will be allowed to designate physicians outside of these specialties as PCPs for specific individuals including those within the disabled population whose underlying health conditions are best managed by specialists.
Types of Primary Care Providers (PCPs. The MCO is required to contract with a mix of PCPs to ensure the primary care needs of adult and pediatric enrollees are met. The MCO may designate the following providers as PCPs, as appropriate: Certified nurse midwives8; Advanced practice nurses (e.g., nurse practitioners (NP)); Physician Assistants (PA); and 8 Certified nurse midwives are required to practice in a collaborative relationship with a licensed physician (West Virginia Code §30-15-7). The MCO must ensure compliance with all relevant federal and state regulations related to certified nurse midwives. Physicians with the following specialties: General practice; Family practice; Internal medicine; Obstetrics/Gynecology; and Pediatrics. The MCO will be allowed to designate physicians outside of these specialties as PCPs for specific individuals including those within the disabled population whose underlying health conditions are best managed by specialists. The MCO must permit any certified nurse midwife, advanced practice nurse, or PA who is otherwise permitted within the scope of their practice and who is a Medicaid enrolled provider, to be designated a PCP for an enrollee and bill independently.
