New Appointment Wait Time Standards for Commercial Members Effective Jan. 1, 2025

Dec. 30, 2024

To ensure timely access to medical care for our members, follow the National Committee for Quality Assurance requirements for behavioral health services, routine primary care and non-urgent specialty care.

Impacted health plans: Wait times standards apply to all Oklahoma commercial members, including Blue Choice PPOSM, Blue TraditionalSM and Blue Lincs® HMO.

According to NCQA requirements as of Jan. 1, 2025: Ensure our members seeking an appointment can schedule an appointment within the time frames below.

Provider Specialty Type

Appointments Must Be Available Within

Behavioral Health

10 business days 

Primary Care (Routine)

15 business days

Specialty Care (Non-urgent) 

30 business days