PM 20-01-02: Restriction of Choice

WAG 20-01-02

When a client has been misusing the right to choose providers, the client can be required to choose a primary care doctor and/or pharmacy. If the client doesn't choose a doctor or pharmacy, HFS will choose one for them. The doctor has to provide or approve all non-emergency care for the client. The pharmacy has to fill all the client's covered prescriptions. A client cannot change the choice of doctor or pharmacy for 6 months unless there is a good reason, such as the doctor stops seeing patients.