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VHP and DMHC have established expectations and standards regarding provider accessibility. These expectations and standards help VHP’s members obtain appointments and receive services within specific required timeframes. All providers are required to adhere to the timely access standards set forth below.
Timely Access Standards Primary Care Providers (PCPs) Appointment Type or Service
Criteria
Standard Access Timeframe
Urgent Appointment
Immediate care is not needed for stabilization, but if not addressed in Appointment offered within 48 a timely way could escalate to an hours of request. emergency.
Immediate care is not needed. For example, this appointment Non-Urgent/Routine Appointment type could be related to new health issues or a follow-up appointment for existing health problems.
Appointment offered within10 business days of request.
Specialists Appointment Type or Service
Criteria
Standard Access Timeframe
Urgent Appointment
Immediate care is not needed for stabilization, but if not addressed in Appointment offered within 96 a timely way could escalate to an hours of request. emergency.
Immediate care is not needed. For example, this appointment Non-Urgent/Routine Appointment type could be related to new health issues or a follow-up appointment for existing health problems.
Appointment offered within15 business days of request.
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CH 12: Timely Access Requirements
2021 / Provider Manual
