All PlansAdministrativeMedium impact
Reminder: Access to care standards apply
Priority Health·Medical Policy
We identified it
Sep 1, 2026
Summary
Priority Health is reminding providers that appointment and timely access to care standards outlined in their Provider Manual contracts must be followed. The plan measures provider performance against these standards annually and expects 24/7 access to care availability. This is a reinforcement of existing contractual obligations, not a new requirement.
Action Required
Immediately: Clinical and administrative staff should review the current Priority Health Plan Provider Manual to confirm your practice is compliant with appointment and timely access to care standards. Verify that your scheduling systems accommodate 24/7 access as required. No billing system changes are needed, but ensure your practice's scheduling and patient access processes meet the standards that will be measured during Priority Health's annual provider performance review.