Published July 2025
Access to health care is crucial for our Members' overall mental and physical well-being. MVP has revised the information regarding availability requirements by specialty and plan to facilitate the scheduling process. Members with emergency conditions need immediate access to care or urgent conditions must be seen within 24 hours.
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Term |
Definition |
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Emergency Condition |
A medical or behavioral condition, the onset of which is sudden and manifests itself by symptoms of sufficient severity, including severe pain, that a prudent layperson, possessing an average knowledge of medicine and health, could reasonably expect the absence of immediate medical attention to result in: (i) placing the health of the person afflicted with such condition in serious jeopardy or in the case of a behavioral condition, placing the health of such a person or others in serious jeopardy, or (ii) serious impairment to such person’s bodily functions; or (iii) serious dysfunction of any bodily organ or part of such person; or (iv) serious disfigurement of such person. |
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Urgent Medical Condition |
An acute but non-life threatening, symptoms are of recent onset and have a moderate to severe impact, such as severe migraine or the flu. |
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Urgent BH Condition |
The impairment of judgment and functioning is at a mild degree with mild to moderate impairment in the level of functioning. The patient exhibits psychiatric symptoms, but the overall level of functioning has not been compromised, such as depression. |
Keeping your practice contact information up to date with MVP, including address(es), phone number, and if you are accepting new patients, is essential for Members to be able to appropriately search for Providers in our Find a Doctor Directory.
Review our current Health Access Standards today.
You can also review these standards within our MVP Provider policies and selecting the Provider Responsibilities section.
Important Updates
Review other articles in this issue regarding important updates.