Are you meeting access standards?
Primary care providers must be accessible to Texas Children’s Health Plan members 24 hours a day, 7 days a week. Acceptable after-hours coverage includes: The office telephone is answered after-hours by an answering service that meets language requirements of the major population groups and that can contact the PCP or another designated medical practitioner. All calls answered by an answering service must be returned within 30 minutes. The office telephone is answered after normal business hours by a recording in the language of...
