PM 20-05-03-b: Changing Primary Care Providers

WAG 20-05-03-b.

A client may change HFS's designated provider. The request must be in writing. A change in HMO status may take up to 60 days to occur.

If one of the following happens, the change can be made for cause:

• the client leaves the area;
• the client's condition changes and the physician cannot treat the condition;
• the physician dies;
• the provider leaves the medical program; or
• the provider tells HFS they will no longer be primary care provider.

HFS will decide if the requested change meets the criteria.