Do members of managed care plans and SNPs have to get referrals to see their HIV medical providers?
In an HIV SNP, the primary care provider (PCP) is an HIV-experienced provider. In mainstream managed care plans, members with HIV can choose to have their HIV-experienced medical provider serve as their PCP. In addition, managed care plans must allow Medicaid members to receive a “standing referral” for on-going and recurring care with a specialist. Each managed care plan has a member handbook to explain how to obtain these services.
