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On-Demand Webinar

Getting Ahead of the CMS
Appointment Wait Time Requirement

Duration: 45 minutes

Learn how to achieve 90% provider availability compliance through secret shopper surveys and turn a regulatory burden into a strategic advantage for your health plan.

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Why This Matters for Your Health Plan

The Mandate: QHP issuers on federally-facilitated exchanges must conduct secret shopper surveys to validate appointment availability. Health plans must achieve 90% provider availability within defined wait times:

 

Primary care : 15 days or less

Behavioral health : 10 days or less

Specialists : 30 days (future years)

In this webinar, you will

  • Understand CMS's 90% provider availability threshold and what it means for your network
  • Learn the secret shopper requirements for QHP issuers on federal exchanges
  • Discover how to leverage AWT surveys for NCQA accreditation and Medicaid compliance
  • Get practical guidance on sample sizes, timelines, and vendor selection

Featured Speakers

Eric-Jolicoeur

Eric Jolicoeur

Program Manager, Provider Data Accuracy

CareFirst BlueCross BlueShield

Brendan-McAdams

Brendan McAdams

Atlas Systems

Ready to meet CMS AWT requirements without the operational headache?

Talk to an expert