Common use of Specialty Providers Clause in Contracts

Specialty Providers. The specialty provider must comply with all applicable statutory and regulatory requirements of the SCHIP program and be Board Certified or Admissible. Specialty Provider responsibilities shall include at a minimum: 4.9.4.1 Providing consultation summaries or appropriate periodic progress notes to the member's PCP on a timely basis, following a referral or routinely scheduled consultative visit; and 4.9.4.2 Notifying the member's PCP when scheduling a hospital admission or any other procedure requiring the PCP's approval. The Contractor shall ensure the availability of Specialty Providers as appropriate for pediatric members. The Contractor shall ensure access to appropriate service settings for members needing medically high risk perinatal care, including both prenatal and neonatal care.