Provider Manual
6 PROVIDER NETWORK INFORMATION
6.5 Urgently Needed Care
Members needing urgent care (but not emergent care) are advised to call their PCP, if possible, prior to obtaining services. However, precertification is not required.
Urgently needed services are defined as those that are covered but are not emergent services and are provided:
Under unusual and extraordinary circumstances, services may be considered urgently needed services when the member is in the service area but the appropriate provider within the IntegraNet provider network is temporarily unavailable or inaccessible.