Jan 1, 2024

Access to care standards for all providers

Primary care providers (PCPs) accept responsibility for arranging and coordinating the overall healthcare of members. A PCP is a physician (MD or DO) who is board-certified or trained in internal medicine, pediatrics, or family medicine. Pursuant to state law, some PCPs are duly licensed and appropriately certified nurse practitioners, physician assistants, as well as some Ob/Gyns who provide primary care services.

Our Access to Care Standards establish access and monitoring standards that ensure members’ accessibility to PCPs, behavioral health providers, and specialists.