Referrals. The PH-MCO must establish and maintain a referral process to effectively utilize and manage the care of its Members. The PH-MCO may require a referral for any medical services, which cannot be provided by the PCP except where specifically provided for in this Agreement.
Appears in 8 contracts
Samples: Healthchoices Agreement, Healthchoices Agreement, Healthchoices Agreement
Referrals. The PH-MCO must is required to establish and maintain a referral process to effectively utilize and manage the care of its Members. The PH-MCO may require a referral for any medical services, which cannot be provided by the PCP except where specifically provided for in this Agreement.
Appears in 5 contracts
Samples: Grant Agreement, Grant Agreement, Grant Agreement
Referrals. The PH-MCO must establish and maintain a referral process to effectively utilize and manage the care of its Members. The PH-PH- MCO may require a referral for any medical services, which cannot be provided by the PCP except where specifically provided for in this Agreement.
Appears in 1 contract
Samples: Healthchoices Agreement
