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7.1.4.2 Provider-Initiated Primary Care Provider Changes
A provider may request a client be reassigned to another primary care provider for any of the following reasons:
• The client is not included in the primary care provider's scope of practice.
•The client is non-compliant with medical advice.
•The client consistently displays unacceptable office decorum.
•The client/primary care provider relationship is not mutually agreeable.
Any request by a provider to reassign a client to another primary care provider must be processed through the applicable managed care program. Before a request for reassignment can be initiated, reasonable measures must be taken to correct the client's behavior. Reasonable measures may include education or counseling by health plan or PCCM staff. The health plan or PCCM will notify the client of the reassignment if all attempts to remedy the situation have failed. Providers should also notify the client about the reassignment in writing and send a copy of the notification to the health plan or PCCM.
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