Service Standards

Provider agreements support patient service standards, which are consistent withTRICARE, CMS, commercial, and state regulations. Patients should be scheduled according to these applicable standards.

Service Standard
Emergency Immediately or triage to local hospital emergency department
Acute services Within 1 day or 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 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 reports from specialists who provide services to their patients within the time frames listed above.

Communication Between Providers and Members

All providers are free to communicate with Martin's Point Health Care members regarding treatment options and alternative medications, regardless of cost or benefit limitations.

National Disaster Medical System

Martin's Point encourages our acute care institutional network providers to participate in the National Disaster Medical System (NDMS). The NDMS is a federally coordinated system that augments the Nation's medical response capability. The overall purpose of the NDMS is to supplement an integrated National medical response capability for assisting State and local authorities in dealing with the medical impacts of major peacetime disasters and to provide support to the military and the Department of Veterans Affairs medical systems in caring for casualties evacuated back to the U.S. from overseas armed conventional conflicts.

The National Response Framework utilizes the National Disaster Medical System (NDMS), as part of the Department of Health and Human Services, Office of Preparedness and Response, under Emergency Support Function #8 (ESF #8), Health and Medical Services, to support Federal agencies in the management and coordination of the Federal medical response to major emergencies and federally declared disasters including:

  • Natural Disasters
  • Major Transportation Accidents
  • Technological Disasters
  • Acts of Terrorism including Weapons of Mass Destruction Events

For more information about becoming involved in NDMS, please visit http://www.phe.gov/preparedness/responders/ndms/Pages/default.aspx