Primary care provider definition

Primary care provider means a participating provider who supervises, coordinates, or provides initial care or continuing care to a covered person, and who may be required by the health carrier to initiate a referral for specialty care and maintain supervision of health care services rendered to the covered person.

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Primary care provider or “PCP” means a qualified physician, or certified nurse practitioner or team of no more than four (4) qualified physicians/certified nurse practitioners which provides all required primary care services contained in the Benefit Package to Enrollees.

Primary care provider means any of the following who provide primary care and meet certification standards:

Examples of Primary care provider in a sentence

• If Participating Provider is a Primary Care Provider who services Covered Persons under age 19, Participating Provider is encouraged to participate in the Vaccines for Children Program.

• The Contractor agrees to have written policies and procedures that permit members at a minimum to self-refer for one annual and up to five (5) GYN/Family Planning visits annually and for sexually-transmitted (STD) services, without obtaining a referral from the Primary Care Provider.

• Responsibilities of the counselors include the following:  Educating the Potential Enrollee and his or her family, guardian or adult caregiver about managed care in general, including: the option to enroll in a Health Plan; the way services typically are accessed under managed care; the role of the Primary Care Provider (PCP); and the responsibilities of the Health Plan member.

• The Primary Care Provider may designate other participating plan clinicians who can provide or authorize a member’s care.

• We no longer require a paper referral from your Primary Care Provider (PCP) for your visits to specialists.

More Definitions of Primary care provider

Primary care provider. (PCP) means, for the purpose of this plan, professional providers that are family practitioners, internists, and pediatricians. For the purpose of this plan, gynecologists, obstetricians, nurse practitioners, and physician assistants may be credentialed as PCPs. To find a PCP or check that your provider is a PCP, please use the “Find a Doctor” tool on our website or call Customer Service.

Primary care provider means any health care practitioner involved in the diagnosis and treatment of a patient’s debilitating medical condition.

Primary care provider means a nurse practitioner, physician, or physician assistant.

Primary care provider means a natural or legal person who holds a Primary Care Contract, or is a Pharmaceutical Services Provider; Primary Care Provider Personnel means all persons (whether clinical or non-clinical) employed or engaged by a Primary Care Provider or by any Sub-Contractor (including volunteers, agency, locums, casual or seconded personnel) in the provision of Services or any activity related to or connected with the provision of the Services;

Primary care provider means the health care provider primarily responsible for the on-going diagnosis and treatment of the resident where they currently reside.

Primary care provider or “PCP” means an individual who meets the requirements of A.R.S. § 36-2901(12) or (13), and who is responsible for the management of a member’s health care.

Primary care provider means a physician, physician's assistant or nurse practitioner that provides regular and continuous health care services.