A medically necessary or preventive medical, dental, mental health or behavioral health visit.
The visit must be a face-to-face/one-on-one encounter or group encounter, in the case of substance use disorder treatment, between the patient and clinician during which time one or more services are rendered.
All practice hours related to patient care can be counted as “direct patient care” hours including face-to-face visits, consultation with the care team, medication management, referral and follow up.
Group sessions provided by behavioral health clinicians may also be counted on a per hour (not per person) basis.
Every contracted participant must engage in the clinical practice of the eligible discipline at the approved site for which they were awarded for the duration of the service obligation.
Full-time service obligation
All participants must work at least 40 hours per week, year-round.
A minimum of 32 hours per week must be spent in direct face-to-face patient care at the approved practice site(s).
Clinicians may provide up to 11 of 32 clinical contact hours in an alternative site.
3/4-time service obligation
All participants must work at least 30 hours per week, year-round.
A minimum of 24 hours per week must be spent in direct face-to-face patient care at the approved practice site(s).
Clinicians may provide up to 11 of 24 clinical contact hours in an alternative site.
Part-time service obligation
All participants must work at least 20 hours per week, year-round.
A minimum of 16 hours per week must be spent in direct face-to-face patient care at the approved practice site(s).
Clinicians may provide up to 11 of 16 clinical contact hours in an alternative site.
