Primary Care Provider (PCP) definition

Primary Care Provider (PCP) means a health care professional who is contracted with BCBSAZ as a PCP and generally specializes in or focuses on the following practice areas: internal medicine, family practice, general practice, pediatrics or any other classification of provider approved as a PCP by BCBSAZ. Your benefit plan does not require you to have a PCP or to have a PCP authorize specialist referrals.
Primary Care Provider (PCP) means any enrolled medical assistance provider who has responsibility for supervising, coordinating, and providing initial and primary care within their scope of practice for identified clients. PCPs initiate referrals for care outside their scope of practice, consultations, and specialist care and assure the continuity of medically appropriate client care. A Federally qualified PCP means a physician with a specialty or subspecialty in family medicine, general internal medicine, or pediatric medicine as defined in OAR 410-130-0005.
Primary Care Provider (PCP) means an enrolled medical assistance provider who has responsibility for supervising, coordinating, and providing initial and primary care within their scope of practice for identified clients. PCPs are health professionals who initiate referrals for care outside their scope of practice, consultations, and specialist care, and assure the continuity of medically appropriate client care. PCPs include:

Examples of Primary Care Provider (PCP) in a sentence

  • A Primary Care Provider (PCP) is a network physician who is selected by you to provide and coordinate your covered services.

  • SECTION 2 Use providers in the plan’s network to get your medical care Section 2.1 You must choose a Primary Care Provider (PCP) to provide and oversee your medical careWhat is a “PCP” and what does the PCP do for you?When you become a member of our plan, you must choose a plan provider to be your Primary Care Physician (PCP).

  • Select a Primary Care Provider (PCP) who is accepting new patients.

  • You may also ask your Primary Care Provider (PCP) to call the number on your UnitedHealthcare member ID card and arrange a referral on your behalf.

  • It shows your specific plan coverage including your Primary Care Provider (PCP).


More Definitions of Primary Care Provider (PCP)

Primary Care Provider (PCP) means a participating provider who has the responsibility for supervising, coordinating, and providing primary health care to enrollees, initiating referrals for specialist care, and maintaining the continuity of enrollee care. PCPs include, but are not limited to Pediatricians, Family Practitioners, General Practitioners, Internists, Physician Assistants (under the supervision of a physician), or Advanced Registered Nurse Practitioners (ARNP), as designated by the Contractor. The definition of PCP is inclusive of primary care physician as it is used in 42 CFR 438. All Federal requirements applicable to primary care physicians will also be applicable to primary care providers as the term is used in this Contract.
Primary Care Provider (PCP) means a physician, certified registered nurse practitioner, or physician assistant who is responsible for coordinating a Participant's health care needs and initiating and monitoring referrals for specialized medical services when required.
Primary Care Provider (PCP) means a Provider, including a WHCP, who,within the Provider's scope of practice and in accordance with State certification requirements or State licensure requirements, is responsible for providing all preventive and primary care services to the PCP’s assigned Enrollees to the Contractor. A PCP may also be or be part of an Integrated Health Home.
Primary Care Provider (PCP) means an In-Network Medical Doctor, Nurse Practitioner, orPhysician’s Assistant, employed, contracted or engaged by GHC-SCW and selected by the Subscriber to provide Provider’s Services without Prior Authorization.
Primary Care Provider (PCP) means a participating provider who has the responsibility for supervising, coordinating, and providing primary health care to enrollees, initiating referrals for specialist care, and maintaining the continuity of enrollee care. PCPs include, but are not limited to Pediatricians, Family Practitioners, General Practitioners, Internists, Naturopathic physicians, medical residents (under the supervision of a teaching physician), Physician Assistants (under the supervision of a physician), or Advanced Registered Nurse Practitioners (ARNP), as designated by the Contractor. The definition of PCP is inclusive of primary care physician as it is used in 42 C.F.R. §
Primary Care Provider (PCP) means a health care professional who is contracted with BCBSAZ as a PCP and generally specializes in or focuses on the following practice areas: internal medicine, family practice, general practice, pediatrics or any other classification of provider approved as a PCP by BCBSAZ.
Primary Care Provider (PCP) means a practitioner who is the primary coordinator of care for the enrollee, and whose responsibility it is to provide accessible, continuous, comprehensive, and coordinated health care services covering the full range of benefits required by the Maryland Medicaid Managed Care Program, as specified in COMAR 10.67.06.