Standing Referral definition

Standing Referral means a referral by the covered person's primary care provider to a specialist or specialized treatment center participating in the carrier's network for ongoing treatment of a covered person.

Standing Referral means a referral by the covered

Standing Referral means a referral by a Primary Care Provider (PCP) to a Specialist for more than one visit to the Specialist, as indicated in the treatment plan, if any, without the Primary Care Provider having to provide a specific referral for each visit. State means the State of California.

Examples of Standing Referral in a sentence

• If you have an illness or injury that needs ongoing treatment from another Physi­ cian or Provider, you may apply for a Standing Referral to that Physician or Provider from your Primary Care Physician or Woman's Principal Health Care Provider.

• Your Primary Care Physician or Woman's Principal Health Care Pro­ vider may authorize the Standing Referral which shall be effective for the period necessary to provide the referred services or up to a period of one year.

• The Member may change the Referred Specialist to whom the Member has been Referred by a Primary Care Physician or for whom the Member has a Standing Referral.

• If you have an illness or injury that needs ongoing treatment from another Physician or Provider, you may apply for a Standing Referral to that Physician or Provider from your Primary Care Physician or Woman's Principal Health Care Provider.

• Your Primary Care Physician or Woman's Principal Health Care Provider may authorize the Standing Referral which shall be effective for the period necessary to provide the referred services or up to a period of one year.

• For Members who are afflicted with life-threatening, degenerative or disabling diseases or conditions, a Standing Referral may be given to a specialist with clinical expertise in treating the disease or condition.

• In certain situations where a Member requires ongoing care from a Specialist, the Member may receive a Standing Referral to such Specialist.

• How To Obtain A Standing ReferralIf the Member has a life-threatening, degenerative or disabling disease or condition, they may receive a Standing Referral to a Participating Professional Provider to treat that disease or condition.

• Right to Standing Referral to Network Specialist 42 USC § 300gg-19a;45 CFR §147.138(a);MIA Bulletin 10-23;§15-1A-13c.

• The referral is subject to periodic review by the Primary Care Physician and CareFirst BlueChoice to determine whether the Standing Referral continues to be Medically Necessary as authorized or approved by CareFirst BlueChoice.

More Definitions of Standing Referral

Standing Referral means a Referral to a Participation Specialist for more than one visit without the Member’s Primary Care Physician having to provide a specific referral for each visit.

Standing Referral means a treatment period during which a health care specialist shall be permitted to treat an enrollee without further referral from the enrollee’s primary care physician and during which this specialist may authorize further referrals, procedures, tests, and other medical services which the enrollee’s primary care physician would otherwise be permitted to provide or authorize.

Standing Referral means a Referral to a Participation Specialist for more than one visit

Standing Referral means a written referral from the primary care physician for an ongoing course of treatment pursuant to a treatment plan specifying needed services and time frames developed by a specialist in consultation with the primary care physician and in accordance with procedures developed by the health care plan.

Standing Referral means a referral by a primary care physician through MemorialCare Select Health Plan to a specialist for more than one visit to the specialist, as indicated in thetreatment plan, if any, without the primary care physician having to provide a specific referral for each visit.