What is the ODS ON CALL/CALL-SHARE POLICY with regard to referrals?
ODS will honor the existing specialist referral without going back through the PCP for on call and call-share situations. The referral will be valid for the specialist’s call-share partner(s). Situations in which this may occur are if the “referred-to” specialist is out of the office due to illness or vacation, is unavailable due to patient load, or if the “referred-to” specialist feels one of the call-share partner(s) is better suited to handle the patient’s problem. NOTE: Call-share specialists must be in network with the patient’s plan for the patient to receive the higher level of benefits.
