Common use of Appointment Standards Clause in Contracts

Appointment Standards. The Contractor shall comply with appointment standards that are no longer than the following (42 CFR 438.206(c)(1)(i)): 7.7.1. Non-symptomatic (i.e., preventive care) office visits shall be available from the enrollee’s PCP or another provider within thirty (30) calendar days. A non-symptomatic office visit may include, but is not limited to, well/preventive care such as physical examinations, annual gynecological examinations, or child and adult immunizations. 7.7.2. Non-urgent, symptomatic (i.e., routine care) office visits shall be available from the enrollee’s PCP or another provider within ten (10) calendar days. A non-urgent, symptomatic office visit is associated with the presentation of medical signs not requiring immediate attention. 7.7.3. Urgent, symptomatic office visits shall be available from the enrollee’s PCP or another provider within forty-eight (48) hours. An urgent, symptomatic visit is associated with the presentation of medical signs that require immediate attention, but are not life threatening. 7.7.4. Emergency medical care shall be available twenty-four (24) hours per day, seven (7) days per week.

Appointment Standards. The Contractor shall comply with appointment standards that are no longer than the following (42 CFR 438.206(c)(1)(i)): 7.7.15.6.1. Non-symptomatic (i.e., i.e. preventive care) office visits shall be available from the enrollee’s PCP or another provider within thirty (30) calendar days. A non-symptomatic office visit may include, but is not limited to, well/preventive care such as physical examinations, annual gynecological examinations, or child and adult immunizations. 7.7.25.6.2. Non-urgent, symptomatic (i.e., routine care) office visits shall be available from the enrollee’s PCP or another provider within ten (10) calendar days. A non-urgent, symptomatic office visit is associated with the presentation of medical signs not requiring immediate attention. 7.7.35.6.3. Urgent, symptomatic office visits shall be available from the enrollee’s PCP or another provider within forty-eight (48) hours. An urgent, symptomatic visit is associated with the presentation of medical signs that require immediate attention, but are not life threatening. 7.7.45.6.4. Emergency medical care shall be available twenty-four (24) hours per day, seven (7) days per week.