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US · guidance

CMS Pub. 100-11, ch. 5, § 20.4

Primary Care Physician

activein force · 2026-08-25 – presentas-observed

A Primary Care Physician (PCP) is qualified to perform primary care including basic

Gynecological (GYN) services, but the PCP is not a ‘‘qualified specialist for women’s

health services.’’ Although female participants may choose their PCP for basic GYN

services, if a participant requests a GYN specialist or the participant requires more

complex GYN services, the participant must be provided a GYN specialist and, when

possible, be provided a choice of GYN specialists.

[71 FR 71291 (Dec. 8, 2006)]

History

(Rev. 2, Issued: 06-09-11; Effective: 06-03-11; Implementation: 06-03-11)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
aee5831dbf1bd430afa053c4239ea53202f06a03a4123a1bfb6423595a495802
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