PCP Responsibilities

Provider Type

  • Physicians
  • Participating Physician Groups (PPG)
  • Hospitals

The primary care physician (PCP) continues to be the principal person responsible for directing the member's care. The Health Net care manager provides the PCP with reports regarding the member's progression through the care management plan. The PCP is responsible for:

  • Providing ongoing medical treatment
  • Providing health care information, such as medical records and the treatment plan,  to expedite health services for the member
  • Maintaining complete documentation in the member's medical record
  • Participating as a health care team member in the member's care management plan
  • Attending care conferences to evaluate the member's progress and modify the care plan, if necessary, and/or reviewing the care management plan of care and providing feedback to the care manager.