Timely Access to Care

Your provider must offer you an appointment within the time frames listed below.
Sometimes waiting longer for care is not a problem. Your provider may give you a longer wait time if it would not be harmful to your health.

It must be noted in your record that a longer wait time will not be harmful to your health.

APPOINTMENT TYPE MUST GET APPOINTMENT WITHIN
Urgent care appointments that do not require pre-approval (prior authorization) 48 hours
Urgent care appointments that do require pre-approval (prior authorization) 96 hours
Non-urgent (routine) primary care appointments 10 business days
Non-urgent (routine) specialist care appointments 15 business days
Non-urgent (routine) mental health provider (non-doctor) care appointments 10 business days
Non-urgent (routine) appointments for ancillary (supporting) services for the diagnosis or treatment of injury, illness, or other health condition 15 business days
Telephone wait times during normal business hours 10 minutes