Tag - Availability

Appointment availability standards

What are appointment availability standards? How do you as a provider with Texas Children’s Health Plan play a role? In 2015 Senate Bill 760 passed, requiring Texas Health and Human Services Commission (HHSC) to monitor the provider networks of managed care organizations. Texas Children’s Health Plan would like to ensure members are able to schedule appointments with providers in accordance with the HHSC’s appointment accessibility guidelines. Provider type level/type of care appointment availability standards OB/GYN ·       Emergency services   ·       Urgent condition   ·       Prenatal care for initial appointments   ·       Prenatal care...

Appointment Availability Standards

What are appointment availability standards? How do you as a provider with Texas Children’s Health Plan play a role? In 2015 Senate Bill 760 passed, requiring Texas Health and Human Services Commission (HHSC) to monitor the provider networks of managed care organizations. Texas Children’s Health Plan would like to ensure members are able to schedule appointments with providers in accordance with the HHSC’s appointment accessibility guidelines. Provider Type Level/Type of Care Appointment Accessibility Standards OB/GYN Low Risk Pregnancies Provided within 14 calendar days High Risk Pregnancies Offered within 5 calendar...