PCP Clause Samples
A PCP (Primary Care Physician) clause defines the requirement for a patient to select and use a designated primary care doctor for their healthcare needs within an insurance or healthcare plan. Typically, this clause mandates that the PCP acts as the main point of contact for all medical services, including referrals to specialists and coordination of care. By centralizing care through a single physician, the clause helps ensure continuity, prevent unnecessary specialist visits, and manage healthcare costs more effectively.
POPULAR SAMPLE Copied 1 times
PCP. The PCP must:
1) Be licensed by the Massachusetts Board of Registration in Medicine;
2) Be either board-certified or board-eligible in Family Practice or Internal Medicine or be further certified in Gerontology or Geriatric Medicine;
3) Obtain annual continuing medical education units in geriatric practice;
4) Have at least two years’ experience in the care of persons over the age of 65; and
5) Be a Provider in good standing with the federal Medicare program.
6) Upon formal application to EOHHS by the Contractor, on behalf of individual physicians who have specialized expertise (long term care, behavioral health, etc.) or abilities (linguistic, cultural, etc.) which meet the needs of particular groups of Enrollees, EOHHS may waive the requirements set forth in subsections (2) and (4) above.
PCP. Primary care provider. This can include both a physician and an advanced practice registered nurse (APRN).
PCP. THC (Marijuana)1
PCP. An IPA Physician specializing in Family Practice, General Practice, Internal Medicine or Pediatrics who has met the credentialing standards of WellCare for designation as a primary care physician and provides continuity of care to the Member who seeks his/her care by supervising, coordinating and providing initial and basic care and initiating referrals for Specialist care.
PCP. PCP" shall mean Port City Press, Inc., a Maryland corporation.
PCP. Urban: 2 within 10 miles for 90% of enrollees in the Contractor’s service area. Rural: 1 within 25 miles for 90% of enrollees in the Contractor’s service area.
PCP. Urban: 2 within 10 miles.
PCP. The PCP must:
1) Be licensed by the Massachusetts Board of Registration in Medicine;
2) Be either board-certified or board-eligible in Family Practice or Internal Medicine or be further certified in Gerontology or Geriatric Medicine;
3) Obtain annual continuing medical education units in geriatric practice;
4) Have at least two years’ experience in the care of persons over the age of 65; and
5) Be a Provider in good standing with the federal Medicare program.