Martin’s Point service standards.
Posted 05/06/25
For patient scheduling and specialist–PCP communications
We would like to remind you that Martin’s Point provider agreements support patient access to care service standards consistent with TRICARE, CMS, commercial, and state regulations. According to these regulations, patients should be scheduled according to the applicable standards below.
Patient scheduling standards
| SERVICE | STANDARD |
|---|---|
| Emergency | Immediately or triage to local hospital emergency department |
| Acute services | Within 1 day of request |
| Symptomatic patient visit | Within 1 week of request |
| Well patient preventive visit | Within 4 weeks of request |
| Appointment wait time | Within 30 minutes of scheduled appointment |
Communication standards between specialists and primary care providers
Effective communication between participating providers who supply specialty services and the primary care providers who refer members for those services is essential to quality care. Timely receipt of consultation reports, diagnostic reports, operative reports, and discharge summaries improves continuity and enhances the quality of care provided. Please adhere to the following time frames:
- Routine reports: 10 business days
- Urgent/emergent: Preliminary report within 24 hours, via telephone, fax, or other means, with formal report within 10 business days
We encourage primary care providers to request and expect clear, legible reports from specialists who provide services to their patients within the time frames listed above.
