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Physician Information

 

Project Access helps Wake County physicians demonstrate their commitment to the ideals of their profession in an organized efficient and rewarding way that is properly recognized and clearly defined.

Organized Way
Project Access identifies eligible patients for referral to your practice in order to help you meet the level of commitment you choose.

For example, Project Access employs a patient reminder system and coordinates the flow of information between the enrollment site (referral clinic) and private practices. Project Access works closely with your office staff to make sure that the uninsured, low-income patients you see use your services properly.

An Efficient Way
Project Access ensures that the time your physicians devote to their patient is used to maximum benefit and that your skills are applied where and when they are most needed and appropriate. Project Access also ensures the equitable expenditure of your effort to help the uninsured, low-income people of our community.

Project Access will

  • Help you define your level of commitment;
  • Refer patients only as appropriate to your practice;
  • Help your patient acquire needed medications;
  • Provide current information for further referrals which may be required;
  • Provide hospitalization, if needed; and
  • Provide reports to you and your staff as requested.

A Properly Recognized Way
Project Access will foster greater public recognition and appreciation for the Wake County medical community’s role in serving the uninsured-low-income patients. We provide a strong program to increase media awareness and recognition of physician volunteerism;

By recognizing your volunteer work on an ongoing basis, Project Access helps the people of Wake County understand the community’s commitment to improving access to needed health care.

Enrolling Your Own Patient(s)
If you are a Specialist and have a patient who may be eligible for Project Access, complete the Physician Acceptance Form and fax to the PA office. Staff will screen for eligibility and enroll the patient into PA, pending approval.

Join the Network of PA Providers - If you wish to join the network of PA providers and pledge care for any number of patients per year, download this pledge form and fax to Pam Carpenter - Physician Pledge Form at 510-9162.

Physician Office Staff

1. Appointments—A Project Access community health worker from one of the Enrollment Site clinics will schedule the initial appointment with your office. This clinic will be the one that you mail the patient’s health record back to.

2. Project Access patients must show a current Project Access ID card at each office visit. If the patient does not present a current Project Access ID card, you may call the Project Access office, Monday through Friday between 9 a.m. and 5 p.m. to verify enrollment at 919-783-0404; x-20 or x-21.

3. You may consider designating a staff person in your office for us to contact when Project Access appointments are being scheduled.

4. Additional Referrals—For additional referrals or services (i.e. lab or diagnostic) you may contact the Project Access office at 919-783-0404; x-21 or x-22. or 919-510-9162 (fax).

5. Claims Processing—Project Access patients are not to be billed for services. However, in order to track the goodwill care that is being contributed, practices are asked to submit a standard HCFA 1500 claim form for services provided to:

Wake County Medical Society
Attn: Project Access Claims
2500 Blue Ridge Road, Ste. 312
Raleigh, NC 27607

6. Do not bill the patient for Project Access services. To report NO SHOWS or patient noncompliance, contact the Project Access office at WCMS – 919-783-0404; x-21 or x-22.7. Reporting—Project Access office tracks all commitments of physicians. It is important to notify the Project Access office if an additional referral needs to be made. Physicians can contact the Project Access office to obtain a report of their patient

Eligibility Requirements

1. Patient must be a Wake County resident – U.S. citizenship not required.

2. Patient does not have health insurance of any kind and is not eligible for Medicare, Medicaid, CHIP or VA benefits.

3. Income – 185% of the Federal Poverty Guideline (see chart). Must provide proof of income to Enrollment Site Health Care Clinic.

4. Initial enrollment is for a six-month period. An extension may be granted, pending continued eligibility and continued treatment and/or medications. However, it is the patient’s responsibility to call the Project Access Office to coordinate an extension based on continued eligibility.

 

Household Size
185% Federal
Poverty Level
1
$ 18,889.00
2
$ 25,326.00
3
$ 31,764.00
4
$ 38,203.00
5
$44,641.00
6
$52,079.00
7
$ 57,517.00
8
$ 63,955.00
For each additional
person, add

$ 6,438.00