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Improving Member Access to Care

We require that all participating practices are familiar with and comply with our Appointment Availability Access Standards for Primary Care-Type Providers, ObGyns, Specialists and Behavioral Health Providers administrative policy guidelines. These important guidelines help ensure that our members receive the care they need when they need it.

Please review this content and keep our standards in mind when

  • Offering your patients a first available appointment,
  • Responding to after-hours calls for urgent or emergent care, or
  • Monitoring office-waiting time.

Our goal is for all of our members to have access to timely appointments based on the clinical urgency of their physical and/or behavioral health needs.

We also make our Access Standard information available to your patients.

Published on: May 9, 2022, 11:15 a.m. ET
Last updated on: May 4, 2022, 11:59 a.m. ET