Changing PCPs Sample Clauses
The 'Changing PCPs' clause outlines the process by which a patient may switch their designated Primary Care Provider (PCP) within a healthcare plan or network. Typically, this clause specifies the conditions under which a change can be made, such as requiring advance notice, limiting the frequency of changes, or mandating the selection of a new PCP from an approved list. Its core practical function is to provide flexibility for patients to seek care from a provider better suited to their needs while maintaining administrative order and continuity of care within the healthcare system.
Changing PCPs. The Contractor will have written policies and procedures for allowing members to select or be assigned to a new PCP including when a PCP is terminated from the Health Plan, or when a PCP change is ordered as part of the resolution to a formal grievance proceeding. In cases where a PCP has been terminated, the Contractor must allow members to select another PCP or make a re-assignment within ten (10) calendar days of the termination effective date.
Changing PCPs. Accessing services outside the Contractor’s service area.