Access requirements for Behavioral Healthcare services
To be compliant, providers are expected to make best efforts to meet the following access standards:
- Initial Routine office visit -- A new patient must be seen in the office by a designated BH Practitioner or another equivalent Practitioner in the practice within seven business days.
Explanation -- This is a routine call for a new patient defined as a patient with non-urgent symptoms, which present no immediate distress and can wait to schedule an appointment without any adverse outcomes. It can be after the Practitioners intake assessment or a direct referral from a treating Practitioner.
Is your practice compliant?
September 2019 Anthem Provider News and Important Updates - Colorado