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7.5.7.2 Primary Care Provider Changes
PCCM clients may change their primary care provider by calling the PCCM Client Helpline at 1-888-302-6688 or by submitting the PCCM Primary Care Provider Selection Form located on the PCCM website at www.tmhp.com.
PCCM clients receive a primary care provider change notification letter after requesting a change to their primary care provider.
If a client request for a primary care provider change is successful, the notification letter will list the name of the new primary care provider and the effective date of the change. Clients will be instructed to take both the notification letter and their Medicaid ID Form (Form H3087) to the new primary care provider's office.
Successful requests for primary care provider changes that are received through the last business day of the month usually become effective on the first day of the next month and are reflected on the following:
• The client's Medicaid Identification Form (Form H3087).
•All eligibility verification systems.
•The claims payment system.
•The client's primary care provider change notification letter.
Requests received after the middle of the month and through the last business day of the month, become effective on the first day of the next month and are reflected on:
•All eligibility verification systems.
•Claims payment system.
•The client's primary care provider change notification letter.
Clients will also receive a notification letter if their primary care provider request is unsuccessful. If a change request is unsuccessful, the notification letter provides possible reasons that the request was not processed and a number for the client to call for assistance.
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