Annual Accessibility Audit

To prepare for the 2026 Annual Provider Access Audit, review the Medicaid and Medicare Accessibility to Care Standards. Please share this information with all associates who schedule member appointments, including central scheduling and off-site call centers.

Our company contracts with NCQA certified survey vendor, Press Ganey, to conduct an annual appointment and after-hours accessibility audit of primary care and specialist practices to determine if practices are adhering to established access standards related to the timeliness of care.

• Appointment Access Audit: Includes phone interviews with your office’s scheduling staff, during business hours, to assess the wait time for members to schedule appointments with your practice site.
• After-hours Access Audit: Includes phone calls to your office, during non-business hours, to assess if your practice site’s after-hours protocol provides members with appropriate instruction on receiving care for an emergent or urgent medical condition in a timely manner.

If you have any questions, please contact your Provider Representative.