Provision of Services

When a covered person is accepted as a patient, the provider is contractually responsible for providing services that fall within their normal scope of practice and expertise and as set forth by state law.  

Providers are responsible for the creation and maintenance of the patient relationship and shall be solely responsible for all aspects of the delivery of treatment and medical care. No provision of the provider contract requires providers to enter or continue a patient relationship with any member.  

No provision of the provider contract expands the scope of the provider’s responsibility for medical care provided beyond the usual provider-patient responsibility.