May 31, 2022
Health plans must provide enrollees with timely access to care, including an appointment within a specific number of days or hours.
Effective July 1, 2022, a new timely access to care requirement for follow-up behavioral health appointments will take effect under Senate Bill (SB) 221 (Wiener, 2021). Health plans must provide non-urgent follow-up appointments with non-physician mental health care or substance use disorder providers within 10 business days of the prior appointment for those undergoing a course of treatment for an ongoing mental health or substance use disorder condition.
A qualified health care provider may extend the waiting time for an appointment if they determine a longer waiting time will not be harmful to the enrollee’s health.
Timely Access to Care Standards
For more information, see the Department of Managed Health Care's 2022 Timely Access to Care Flyer.
Contact your Amwins Connect Regional Sales Manager to learn more.
