Waiting Time Benchmarks Sample Clauses
Waiting Time Benchmarks. (A) The Contractor shall adopt benchmarks for waiting times for dental appointments as follows:
(1) Benchmarks for Waiting Times for Appointments with a Dental Provider:
(i) within 21 days for a routine, non-urgent appointments
(ii) same day for urgent care that can be treated in provider’s office.
(B) The Contractor shall establish mechanisms to ensure that its Participating Providers are complying with the timely access requirements, and shall monitor its Participating Providers regularly to determine compliance by Participating Providers. If there is failure to comply, the Contractor shall take corrective action.
Waiting Time Benchmarks. (A) The Contractor shall adopt benchmarks for waiting times for physician appointments as follows:
(1) Benchmarks for Waiting Times for Appointments with a Primary Care Provider:
(i) within 30 days for a routine, non-urgent appointments
(ii) within 30 days for school physicals
(iii) within 2 days for urgent, symptomatic, but not life-threatening care (care that can be treated in a doctor’s office)
(2) Benchmarks for Waiting Times for Appointments with a Specialist:
(i) within 30 days for non-urgent care
(ii) within 2 days for urgent, symptomatic, but not life-threatening care (care that can be treated in a doctor’s office)
(B) These benchmarks do not apply to appointments for regularly scheduled visits to monitor a chronic medical condition if the schedule calls for visits less frequently than once every month.
Waiting Time Benchmarks. The Contractor shall adopt benchmarks for waiting times for physician appointments as follows: