D.C. Mun. Regs. tit. 29, r. 29-5403
Each fee-for-service primary care provider shall provide each enrollee with high quality health care at locations that ensure reasonable availability and accessibility to enrollees.
Each fee-for-service primary care provider shall provide either directly or by referral, each service in the Medicaid managed care benefits package, including patient management and referrals and approvals.
Each fee-for-service primary care provider shall ensure that urgent and emergency medical care are available to AFDC and AFDC-related Medicaid enrollees on a twenty-four (24) hour basis, seven (7) days a week, either through the fee-for-service provider or through other appropriate facilities.
Each AFDC and AFDC-related Medicaid recipient shall receive the same services in the same facilities as the fee-for-service primary care provider's non-AFDC and AFDC-related Medicaid enrollees.
Each AFDC and AFDC-related Medicaid enrollee shall be fully integrated into the fee-for-service primary care provider's practice and shall not be treated in a manner different from non-AFDC or AFDC-related patients.
Each fee-for-service primary care provider shall provide health education programs for its enrollees in languages understood by the population being served. The education programs shall include, at a minimum, the following:
The fee-for-service primary care provider shall have a system of follow-up of patient care for enrollees with chronic and acute illnesses, including an appointment follow-up system for persons who do not appear for appointments.
Waiting times for appointments for AFDC and AFDC-related Medicaid enrollees shall not exceed the waiting times for non-AFDC or AFDC-related patients of the fee-for-service primary care provider.
Each fee-for-service primary care provider shall maintain a current, unified medical record on each enrollee.
D.C. Mun. Regs. tit. 29, r. 29-5403