Access requirements for behavioral health care 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 ten 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 - Wisconsin