Standing Referral definition

Standing Referral means a referral by the covered person's primary care provider to a specialist or specialized treatment center participating in the carrier's network for ongoing treatment of a covered person.

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Standing Referral means a referral by the covered

Standing Referral means a referral by a Primary Care Provider (PCP) to a Specialist for more than one visit to the Specialist, as indicated in the treatment plan, if any, without the Primary Care Provider having to provide a specific referral for each visit. State means the State of California.

Examples of Standing Referral in a sentence

If you have an illness or injury that needs ongoing treatment from another Physi cian or Provider, you may apply for a Standing Referral to that Physician or Provider from your Primary Care Physician or Woman's Principal Health Care Provider.
Your Primary Care Physician or Woman's Principal Health Care Pro vider may authorize the Standing Referral which shall be effective for the period necessary to provide the referred services or up to a period of one year.
The Member may change the Referred Specialist to whom the Member has been Referred by a Primary Care Physician or for whom the Member has a Standing Referral.
If you have an illness or injury that needs ongoing treatment from another Physician or Provider, you may apply for a Standing Referral to that Physician or Provider from your Primary Care Physician or Woman's Principal Health Care Provider.
Your Primary Care Physician or Woman's Principal Health Care Provider may authorize the Standing Referral which shall be effective for the period necessary to provide the referred services or up to a period of one year.
For Members who are afflicted with life-threatening, degenerative or disabling diseases or conditions, a Standing Referral may be given to a specialist with clinical expertise in treating the disease or condition.
In certain situations where a Member requires ongoing care from a Specialist, the Member may receive a Standing Referral to such Specialist.
Enrollees identified by the assessment mechanism to need a course of treatment or regular care monitoring shall be allowed to directly access a specialist (such as through a Standing Referral or an approved number of visits), as appropriate for the Enrollee’s condition and identified needs.
HMO is not required to permit a Member to elect to have a Standing Referral to a non-participating Specialist, unless an Appropriately Qualified Specialist is not available within HMO's network of Participating Providers.
If HMO, or the PCP, in consultation with an HMO medical director and Specialist, if any, determines that the Member's care would most appropriately be coordinated by a Specialist or Specialty Care Center, PCP will authorize a Standing Referral to such Specialist or Specialty Care Center for up to 12 months.

More Definitions of Standing Referral

Standing Referral means a written referral from the primary care physician for an ongoing course of treatment pursuant to a treatment plan specifying needed services and time frames developed by a specialist in consultation with the primary care physician and in accordance with procedures developed by the health care plan.

Standing Referral means a Referral to a Participation Specialist for more than one visit without the Member’s Primary Care Physician having to provide a specific referral for each visit.

Standing Referral means a Referral to a Participation Specialist for more than one visit

Standing Referral means a treatment period during which a health care specialist shall be permitted to treat an enrollee without further referral from the enrollee’s primary care physician and during which this specialist may authorize further referrals, procedures, tests, and other medical services which the enrollee’s primary care physician would otherwise be permitted to provide or authorize.