Examples of PCMP in a sentence
Primary Care Medical Provider (PCMP) – A primary care provider contracted with a RAE to participate in the Accountable Care Collaborative as a Network Provider.
Primary Care Medical Provider Practice Site (PCMP Practice Site) – A single “brick and mortar” physical location where services are delivered to Members under a single Medicaid billing provider identification number.
Electronic consultations allow specialists to receive reimbursement for timely review of clinical information and providing Member specific recommendations on how a PCMP may manage a condition and whether a specialty visit is required.
The Contractor shall work with nursing facilities and Regional Centers as necessary to ensure appropriate Member attribution and, when needed, assist Members in choosing a PCMP.
The selection of a different PCMP may result in assignment to a different RAE.
The Contractor shall document its relationship with and requirements for each PCMP and behavioral health provider in the Contractor’s network in a written contract.
The Contractor shall follow up with Members who are seeking care from primary care providers other than the attributed PCMP to identify any barriers to accessing the PCMP and, if appropriate, to assist the Member in changing the attributed PCMP.
The Contractor shall allow each Member to choose a PCMP and behavioral health professional to the extent possible and appropriate.
The Contractor shall assist any Member who contacts the Contractor, including Members not in the Contractor’s region who need assistance with contacting his/her PCMP and/or RAE.
The Contractor shall review the Member responses to the Health Needs Survey on a regular basis to identify Members who may benefit from timely contact and support from the Member’s PCMP and/or RAE.