Standards - Network Adequacy and Timely Access

   This replaces BHSD Service Access policy 412-404 and SUTS P&P 2, 3, and 4

​​Service

Timely Access Standards​
(from request to appointment)

Time & Distance Standards ​
(from beneficiary's place of residence)

  Mental Health Services, ​​
  Targeted Case   Management, 
  Crisis Intervention, 
  and Medication Support  Services

​Within 10 business days from request to appointment ​

​    15 miles or 30 minutes

​   Psychiatry

​Within 15 business days from request to appointment

​    15 miles or 30 minutes

 Outpatient Substance Use Disorder services,
other than opioid treatment programs

​Within 10 business days from request to appointment 

​    15 miles or 30 minutes

Opioid Treatment Programs

​ Within 3 business days

​    15 miles or 30 minutes

​   Hospital

​ N/A

​    15 miles or 30 minutes

   ​Pharmacy

​ Prior authorization: 24 hours
 Emergency supply: 72 hours

​    10 miles or 30 minutes​

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