Coordination of Medical Care

A PACT provider must coordinate behavioral health disorder treatment with medical care for MassHealth members. If a member has not received a physical exam within 12 months of the date of intake, the PACT provider must advise the member that one is needed. If the member does not have an existing relationship with a physician, the PACT provider must assist the member in contacting the MassHealth agency's customer service line to receive help in selecting a physician. If the member declines a physical examination, the member's record must document the member's preference and any stated reason for that preference.