Common use of Accessibility Standards Clause in Contracts

Accessibility Standards. Provider shall provide for timely access for Member appointments in accordance with the appointment availability requirements established under the MississippiCHIP Program Contract, as further described in the applicable provider manual. Type Appointment Scheduling Time Frames PCP (well care visit) Not to exceed thirty (30) calendar days PCP (routine sick visit) Not to exceed seven (7) calendar days PCP (urgent care visit) Not to exceed twenty-four (24) hours Specialists Not to exceed forty-five (45) calendar days Dental Providers (routine visits) Not to exceed forty-five (45) calendar days Dental Providers (urgent Care) Not to exceed forty-eight (48) hours Behavioral Health Providers (routine visit) Not to exceed twenty-one (21) calendar days Behavioral Health Providers (urgent visit) Not to exceed twenty-four (24) hours Behavioral Health Providers (post-discharge from an acute psychiatric hospital when the Contractor is aware of the Member’s discharge) Not to exceed seven (7) calendar days Urgent Care Providers Not to exceed twenty-four (24) hours Emergency Providers Immediately (twenty-four (24) hours a day, seven (7) days a week) and without Prior Authorization

Accessibility Standards. Provider shall provide for timely access for Member Covered Person appointments in accordance with the appointment availability requirements established under the MississippiCHIP Program State Contract, as further described in the applicable provider manual. Type Appointment Scheduling Time Frames PCP (well care visit) Not to exceed thirty (30) calendar days PCP (routine sick visit) Not to exceed seven (7) calendar days PCP (urgent care visit) Not to exceed twenty-four (24) hours Specialists Not to exceed forty-five (45) calendar days Dental Providers (routine visits) Not to exceed forty-five (45) calendar days Dental Providers (urgent Care) Not to exceed forty-eight (48) hours calendar days Behavioral Health Providers (routine visit) Not to exceed twenty-one (21) calendar days Behavioral Health Providers (urgent visit) Not to exceed twenty-four (24) hours Behavioral Health Providers (post-discharge from an acute psychiatric hospital when the Contractor is aware of the Member’s discharge) Not to exceed seven (7) calendar days Urgent Care Providers Not to exceed twenty-four (24) hours Emergency Providers Immediately (twenty-four (24) hours a day, seven (7) days a week) and without Prior Authorization

Accessibility Standards. Provider shall provide for timely access for Member Covered Person appointments in accordance with the appointment availability requirements established under the MississippiCHIP Program State Contract, as further described in the applicable provider manual. Type Appointment Scheduling Time Frames PCP (well care visit) Not to exceed thirty (30) calendar days PCP (routine sick visit) Not to exceed seven (7) calendar days PCP (urgent care visit) Not to exceed twenty-four (24) hours Specialists Not to exceed forty-five (45) calendar days Dental Providers (routine visits) Not to exceed forty-five (45) calendar days Dental Providers (urgent Care) Not to exceed forty-eight (48) hours Behavioral Health Providers (routine visit) Not to exceed twenty-one (21) calendar days Behavioral Health Providers (urgent visit) Not to exceed twenty-four (24) hours Behavioral Health Providers (post-discharge from an acute psychiatric hospital when the Contractor is aware of the Member’s discharge) Not to exceed seven (7) calendar days Urgent Care Providers Not to exceed twenty-four (24) hours Emergency Providers Immediately (twenty-four (24) hours a day, seven (7) days a week) and without Prior Authorization

Accessibility Standards. Provider shall provide for timely access for Member Covered Person appointments in accordance with the appointment availability requirements established under the MississippiCHIP Program State Contract, as further described in the applicable provider manual. Type Appointment Scheduling Time Frames PCP (well care visit) Not to exceed thirty (30) calendar days PCP (routine sick visit) Not to exceed seven (7) calendar days PCP (urgent care visit) Not to exceed twenty-four (24) hours Specialists Not to exceed forty-five (45) calendar days Dental Providers (routine visits) Not to exceed forty-five (45) calendar days Dental Providers (urgent Care) Not to exceed forty-eight (48) hours Behavioral Health Providers (routine visit) Not to exceed twenty-one fourteen (2114) calendar days Behavioral Health Providers (urgent visit) Not to exceed twenty-four (24) hours Behavioral Health Providers (post-post- discharge from an acute psychiatric hospital when the Contractor is aware of the Member’s discharge) Not to exceed seven (7) calendar days Urgent Care Providers Not to exceed twenty-four (24) hours Emergency Providers Immediately (twenty-four (24) hours a day, seven (7) days a week) and without Prior Authorization