tailieunhanh - 2012 New York Provider Manual

In my presidential address, I summarized our past and present status, and focused on a proposal for our future. You may read the full text, entitled “Strategies and Goals: The Future of the International Gynecologic Cancer Society” in the December 2010 issue of our International Journal of Gynecological Cancer. At the IGCS website, you may view a webcast of my address as well as those of many of the presenters from our 13th Biennial Meeting. In my speech, I outline the beneficial and productive activities to which the IGCS is committed and the successes that our organization achieved. The. | healthfirst 2012 New York Provider Manual revision 5 7 12 Page 50 7. Obstetrics and Gynecology Definition of Services All female members twelve 12 years and older have direct or free access to an Obstetrician Gynecologist OB GYN who will be responsible for providing and managing medical care for obstetrical and gynecological conditions. Medicaid managed care FHPlus CHPlus and Medicare members may directly access OB GYN services through any in-network provider. A female member does not need a referral from their PCP to receive OB GYN care. Healthfirst includes the following seven 7 specialty areas in its definition of obstetrics and gynecology. Practitioners in the specialties will be referred to as OB GYN providers in this Provider Manual unless otherwise indicated 1. Gynecology 2. Gynecology Nurse Practitioner 3. Midwifery 4. Obstetrics 5. Obstetrics and Gynecology 6. Obstetrics and Gynecology Nurse Practitioner 7. Women s Health Nurse Practitioner 8. Maternal and Fetal Medicine 9. Obstetrics and Gynecology - High Risk In certain circumstances a member may choose the same provider to serve as both her PCP and OB GYN. This might occur if a member selects a family practitioner as her PCP or HIV Specialist PCP who also provides routine OB GYN services. Healthfirst members may access OB GYN services directly without a referral from a PCP for routine care. The PCP however may refer a member to an OB GYN for consultation. Reports of all diagnostic tests must be forwarded to the PCP for inclusion in the member s medical record. See Section for additional details. In addition Medicaid members may choose to receive Family Planning and Reproductive Health services from a non-participating provider who accepts Medicaid for these services also known as Free Access Policy . Family Planning and Reproductive Health services mean the offering arranging and furnishing of those health services that enable members including minors who may be sexually active to prevent or .

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