Provider Accessibility. Provider shall arrange for call coverage or other back-up to provide service in accordance with Tailored Plan's standards for provider accessibility. Provider will in addition: i. Offer hours of operation that are no less than the hours of operation offered to commercial enrollees or comparable to NC Medicaid Direct, if Provider serves only Medicaid beneficiaries; ii. Make Covered Services available to Covered Persons twenty-four (24) hours a day, seven (7) days a week, including holidays, when medically necessary; and iii. Have a “no-reject policy” for referrals within the capacity and parameters of Provider’s competencies. Provider agrees to accept all referrals meeting criteria for Covered Services that it provides when there is available capacity. (Section VII. Attachment G.1.1(i) p 80)
Appears in 2 contracts
Sources: Participating Provider Agreement, Participating Provider Agreement