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December 2016 Texas Medicaid Provider Procedures Manual

Medicaid Managed Care Handbook : 2 Overview of Medicaid Managed Care : 2.4 PCP/Main Dentist Guidelines for Medicaid Managed Care Clients : 2.4.4 Continuous Access

2.4.4
Continuous access is an important feature of Medicaid managed care. Twenty-four-hour PCP and main dentist availability enables clients to access and use services appropriately, instead of relying on ERs for after-hours care.
Continuous access can be provided through direct access to a PCP’s or main dentist’s office or through on-call arrangements with another office or service. Clients should be informed of the PCP’s or main dentist’s normal office hours and should be instructed how to access urgent medical care after normal office hours.

Texas Medicaid & Healthcare Partnership
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