How does a PCP refer an enrollee for specialty services?
A. PCP’s should continue their current office practice for referring enrollees for specialty services. The PCP will need to give the specialist his or her 13-digit PROMISe provider ID number or, if part of a group practice, the group’s 13-digit PROMISe provider ID number. This information can be given by either phone or written format. The referral for specialty services, as well as the reason, date of referral and length of time should be notated in the patient’s medical record.
