Common use of Appointment Standards Clause in Contracts

Appointment Standards. The Contractor shall comply with appointment standards that are consistent with the following: 6.2.1. The Contractor shall make available behavioral health services on a twenty-four (24) hour, seven (7) days per week basis when clinically indicated and medically necessary. 6.2.1.1. Urgent care must occur within twenty-four (24) hours of a request for mental health services from any source. 6.2.2. A routine behavioral health intake evaluation or assessment appointment must be available and offered to every Enrollee within ten (10) business days of the request, with a possible extension of up to an additional ten (10) business days, unless both of the following conditions are met: 6.2.2.1. An intake evaluation has been provided in the previous twelve (12) months that establishes medical necessity and 6.2.2.2. The Contractor agrees to use the previous intake evaluation as the basis for the request for authorization. 6.2.3. The time period from request for behavioral health services to first offered Routine Services appointment must not exceed twenty-eight