Common use of Access and Service Delivery Clause in Contracts

Access and Service Delivery. With the exception of individuals receiving benefits through Insure Oklahoma, all SoonerCare Choice beneficiaries select or are assigned a PCP/CM responsible for furnishing primary and preventive services and making Provider Required Qualifications

Access and Service Delivery. With the exception of individuals receiving benefits through Insure OklahomaOklahoma members enrolled in Qualified Health Plans, all SoonerCare Choice beneficiaries select or are assigned aligned with a PCP/CM responsible for furnishing primary and preventive services and making medically necessary referrals. PCP/CMs must belong to one of the provider types listed below. Provider Required Qualifications