Types of Services Standard
Access to non-urgent appointments or primary care – regular and routine care (with a PCP) Within 10 business days of request
Access to non-urgent appointments for mental health (non-physician) Within 10 business days of request
Access to urgent care services that do not require prior authorization Wait time not to exceed 48 hours of request
Access to urgent care (specialist and other) services that require prior authorization Wait time not to exceed 96 hours of request
Access to non-urgent appointments with a specialist Within 15 business days of request
Access to after-hours care (with a PCP) Ability to contact on-call physician after hours within 30 minutes for urgent issues
Access to preventive health services within 30 business days of request Access to preventive health services within 30 business days of request
Non-urgent appointments for ancillary services for the diagnosis or treatment of injury Within 15 business days of request
In-office wait time for scheduled appointments (PCP) Not to exceed 45 minutes
In-office wait time for scheduled appointments (PCP) Not to exceed 60 minutes