What a Clinician Can Expect

Clinician Rights & Responsibilities

  • You should expect to be treated with courtesy and fairness.
  • You should expect to be rewarded on the basis of merit and skill.
  • You should expect to receive fair and reasonable fees for your work, and receive them promptly.
  • You should expect your paperwork and telephone calls to be kept to a minimum.
  • You should expect to receive clear and understandable communications from you third party administrator.
  • You should expect to have a source of consultation and referral for your patients who need this.
  • You should expect any system of which you are a part to hear and welcome your suggestions.
  • You should expect change if change will solve a problem rather than create a new one.

BHCP's Accessibility Standards:

BHCP providers should direct members to the ER for emergent care needs. 

 

Accessibility Standard

Performance Goal

Average speed of telephone answer.

30 seconds or less.

Telephone call abandonment rate.

5% or less.

Percentage of telephone calls handles within 30 seconds.

85%

Appointment offered with non- life threatening emergency care needs

99% within 6 hours

Prescriber behavioral health urgent appointments

60% of offices report a first available urgent appointment is open for a patient within 48 hours of patient request

Prescriber behavioral health new patient routine appointments

60% of offices report a third available routine appointment is open for a new patient within 10 business days of patient request

Prescriber behavioral health established patient routine follow-up appointments

60% of offices report a third available routine appointment is open for a established patient within 60 days of patient request

Non prescriber behavioral health urgent appointments

85% of offices report a first available urgent appointment is open for a patient within 48 hours of patient request

Non prescriber behavioral health new patient routine appointments

85% of offices report a third available routine appointment is open for a new patient within 10 business days of patient request

Non prescriber behavioral health established patient routine follow-up appointments

85% of offices report a third available routine appointment is open for a established patient within 60 days of patient request