PCP Selection and Assignment Sample Clauses
The "PCP Selection and Assignment" clause establishes the process by which individuals covered under a health plan choose or are assigned a Primary Care Provider (PCP). Typically, this clause outlines the steps for members to select a PCP from an approved network, and details what happens if a member does not make a selection, such as automatic assignment by the plan. Its core function is to ensure that each member has a designated healthcare professional responsible for coordinating their primary medical care, thereby promoting continuity of care and streamlining access to health services.
PCP Selection and Assignment. 2.8.5.1 Choice of Primary Care Provider. The FIDA Plan shall offer each Participant the choice of no fewer than three (3) PCPs within distance/travel time standards as set forth in Section 2.7.1.6.5.1
PCP Selection and Assignment. The contractor shall place a high emphasis on ensuring that enrollees are informed and have access to enroll with traditional and safety net providers. The contractor shall place a high priority on enrolling enrollees with their existing PCP. If an enrollee does not select a PCP, the enrollee shall be assigned to his/her PCP of record (based upon prior history information) if that PCP is still a participating provider with the contractor. All contract materials shall provide equal information about enrollment with traditional and safety net providers as that provided about contractor operated offices. All materials, documents, and phone scripts shall be reviewed and approved by the Department before use.
PCP Selection and Assignment