Managed Care Provider Directory - Blue Cross and Blue Shield of ...

How to Find aProviderThe Blue Cross and Blue Shield of Montana Managed Care Provider Directory,published monthly, is organized so that you can quickly find a provider by specialtywithin a certain city.Providers are grouped by type (Personal Care Physicians, Professional Providers,and Specialty Care Providers), and they are then listed alphabetically by city, then byspecialty, and then by last name.When we are aware that a provider has restrictions on accepting new patients, thatinformation is noted in the provider's listing.Definition ofProviderCategoriesThe Personal Care Physician (PCP), in partnership with the patient, coordinates andmonitors the health care services the patient receives. In this role, the PCP ensuresthe patient receives appropriate and necessary services.Coordination of services by the PCP gives you greater assurance of continuity as wellas quality of care. This approach also ensures a greater opportunity to manage yourhealth care costs.PCPs include the following physician specialties:· Family Medicine· General Practice· Internal Medicine· Obstetrics and Gynecology· PediatricsProfessional Providers (Nurse Practitioner, Physician Assistant, and Certified NurseMidwife)Professional providers are considered to be "on-call" for the PCP and can act as anyother on-call provider.If you have been seeing a nurse practitioner, physician assistant, or a nurse mid-wifepracticing within a PCP office, you may continue to see that provider as long as yourPCP is the physician for which they work.Members may not choose a Nurse Practitioner, Physician Assistant, or a NurseMid-wife as a PCP.Specialty Care ProviderSpecialty Care Provider (SCP) services are necessary when knowledge or skillsbeyond the PCP's scope of practice are required. SCPs provide the required servicesand consult with the PCP regarding any questions or concerns related to themember's care.