Primary Care Provider Roles & Responsibility

All HAP CareSource™ MI Health Link (Medicare-Medicaid Plan) members choose or are assigned to a primary care provider (PCP) upon enrollment in the plan. Members have the option to change to another participating PCP as often as needed. Members initiate the change by calling our Member Services department at 1-833-230-2057.

PCPs should help facilitate a medical home for members. This means that PCPs will help coordinate health care for the member and provide additional health options to the member for self-care or care from community partners.

Roles and Responsibilities

In addition, HAP CareSource MI Health Link PCPs play an integral part in coordinating health care for our members by providing:

  • Availability of a personal health care practitioner to assist with coordination of a member’s overall care, as appropriate for the member
  • Continuity of the member’s total health care
  • Early detection and preventive health care services
  • Elimination of inappropriate and duplicate services

PCPs Are Responsible For:

  • Treating HAP CareSource MI Health Link members with the same dignity and respect afforded to all patients. This includes high standards of care and the same hours of operation.
  • Identifying the member’s health needs and taking appropriate action.
  • Providing phone coverage for handling patient calls 24 hours a day, seven days a week.
  • Following all referral and prior authorization policies and procedures as outlined in this manual.
  • Complying with the quality standards of our health plan and the Michigan Department of Health and Human Services (MDHHS).
  • Providing 30 days of emergency coverage to any HAP CareSource MI Health Link patient dismissed from the practice.
  • Maintaining clinical records, including information about pharmaceuticals, referrals, inpatient history, etc.
  • Obtaining patient records from facilities visited by HAP CareSource MI Health Link patients for emergency or urgent care if notified of the visit.

Ensuring demographic and practice information is up to date for directory and member use.