Acute appointments are made within 24 hours Definition: An urgent (acute) care appointment is reserved for non-emergent, urgent care that is typically delivered by an MTF or network Primary Care Manager (PCM). Acute care services for Active Duty and TRICARE Prime enrollees shall be scheduled no greater than 24 hours from the time the need for this appointment is determined. Routine appointments are made within 7 calendar days Definition: A routine care appointment is designated for patients who require a visit with their PCM for a new healthcare problem that is not considered urgent. Routine care for Active Duty and TRICARE Prime enrollees shall be scheduled within seven calendar days from the time the need for this appointment is determined. Wellness appointments are made within 28 calendar days Definition: A wellness care appointment is designated for patients who require a visit for a wellness/or preventive health concern or with their PCM for an initial visit. This wellness care for Active Duty and TRICARE Prime enrollees shall be scheduled within 28 calendar days from the time the need for this appointment is determined. Specialty appointments are made within 28 calendar days Definition: A specialty care appointment is designated for patients who require an initial consult, referral, or initial self-referral. Specialty care for Active Duty and TRICARE Prime enrollees shall be scheduled within 28 calendar days from the time the need for this appointment is determined. A specialty care appointment also includes procedures designated for patients in need of medical procedures.
Access To Care Standards The listed appointment types MUST be within the days listed. Enhanced (WTs, deploying SMs & post-deployment SMs) * Acute - 24 hours (urgent) * Routine - 3 working days * Specialty - 7 working days (initial) * Surgery - 14 days (non-emergent) * Wellness - 28 days * Procedure - 28 days * Established - none (follow-ups and 2+ appointment in clinic) Prime (all others) * Acute - 24 hours (urgent) * Routine - 7 days * Specialty - 28 days * Surgery - none * Wellness - 28 days * Procedure - 28 days * Established - none (follow-ups and 2+ appointments in clinic) * Grp - (group) none WTs=Warriors In Transition SMs=Service Members
