Structure and Staffing. The practice shall: □ E-consults available in at least three (3) specialties: be capable of asynchronous, consultative, provider-to-provider communications within a shared Electronic Health Record (EHR) or web-based platform between primary care and specialist providers over a secure electronic medium that involves sharing of patient-specific information and discussing clarification or guidance regarding targeted clinical care. E-consults shall be available to clinical staff within the practice to discuss with specialists in at least three distinct and non-redundant American Board of Medical Specialties (ABMS)-recognized specialties. For example, offering e-consults to multiple specialties with board certification under the pathways of Internal Medicine, such as cardiology, endocrinology, and nephrology meets this requirement. On the other hand, multiple specialties with certification under a shared subspecialty would be considered redundant; for example, seeking to count e- consults in general cardiology, clinical cardiac electrophysiology, and interventional cardiology as three distinct specialties would not meet this requirement. □ After-hours or weekend session: offer at least four hours for in-person or telehealth visits, with the practice’s own providers or with providers from another of the Contractor’s Network PCPs (ACPP) or Participating PCPs (PCACO) as further specified below, at least once per week within any of the following periods: o Monday through Friday: Outside the hours of 8:00 a.m.-5:00 p.m. o Saturday or Sunday: During any period These session(s) may be covered by the practice’s own providers or with providers from another of the Contractor’s Network PCPs (ACPP) or Participating PCPs (PCACO) such that one practice may cover the weekend or after-hours sessions for a maximum of two other practices. If the practice utilizes another practice for this coverage, EOHHS encourages the Contractor to utilize practices that are located in close geographic proximity to the practice. In addition, any providers staffing such sessions (including those at another practice site) must have access to the practice’s EHR and must document the visit within the practice’s EHR. Sessions cannot be those offered by a third- party or a group unaffiliated with the primary care practice as described above, unable to access the practice’s EHR, or unaffiliated with the practice’s patient population. The required after-hours or weekend session shall provide behavioral...
