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7.1.4 Primary Care Provider Changes
7.1.4.1 Client-Initiated Primary Care Provider Changes
A client may change primary care providers for the following reasons:
• The client is dissatisfied with the care or treatment they have received.
•The client's condition or illness would be better treated by another provider type.
•The client's new address is no longer convenient to the primary care provider's location.
•The provider leaves the program (i.e., moves, no longer accepts Medicaid, is removed from Medicaid enrollment, is no longer affiliated with the Medicaid Managed Care Program, or is deceased).
•The client/primary care provider relationship is not mutually agreeable.
HMO and PCCM Primary Care Provider Changes
Primary care provider changes for PCCM, STAR, and STAR+PLUS can be received up to the last business day of the month and made effective by SAVERR/TIERS the first day of the next calendar month, as shown in the following example:
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