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Appointment Wait Times

Why does Select Health monitor wait times?

At Select Health, we are committed to ensuring timely access to care for our members and improving the healthcare experience. As part of our compliance with regulatory and accreditation standards, we are required to distribute and collect appointment wait-times surveys from providers and clinics who see our Medicaid and Federal Employee Health Benefits (FEHB) members. Beyond regulatory requirements, the insights we gain from this data help us:

  • Monitor and improve access to care across our network
  • Identify gaps in provider availability and capacity
  • Enhance member satisfaction and reduce delays in care
  • Support quality improvement and value-based care initiatives

 

How do we collect appointment wait-time data?

Select Health uses two types of appointment wait-time surveys:

 

  1. Emailed Surveys: We distribute the Appointment Wait Time Survey for NCQA Accreditation AND Utah State Medicaid compliance standards set by the Department of Health and Services (DHHS). Select Health uses a Qualtrics survey sent to clinic managers for attestation. Once we receive the results, we analyze and summarize key areas for improvement moving forward.

  2. Telephone Surveys/Secret Shopper Calls: CMS requires both wait-time surveys and secret shopper calls for compliance. Telephone surveys involve random sampling telephone calls initiated by a required third-party vendor of Select Health’s choice. These agents making the calls  to clinics pose as new patients needing an appointment as soon as possible.

Utah Medicaid Appointment Wait-Time Standard

Primary Care Provider (PCP)
Appointment Type
Wait Time Standard
Routine, Non Urgent
30 Days
School Physical
30 Days
Urgent Care
2 Days
Specialty Care Provider (SCP)
Appointment Type
Wait Time Standard
Routine, Non Urgent
30 Days
Urgent Symptomatic
2 Days
Behavioral Health
Appointment Type
Wait Time Standard
Routine, Non Urgent
10 Days
Routine Follow Up
21 Days
Urgent
48 Hours
Federally Facilitated Exchange (FFE) Wait-Time Standards
Appointment Type
Wait Time Standard
PCP
15 Days
SCP
30 Days
Behavioral Health
10 Days

What can providers do to improve wait-time results?

Use these proven strategies for reducing wait times:

  • Reserve slots for new patients.
  • Monitor no-shows.
  • Keep a waiting list for quickly filling cancelled appointments.
  • Always offer the earliest available appointment, regardless of whether the members cannot schedule at the time given.
  • Consider using online scheduling portals.
  • Automate reminders to help members remember to either keep or cancel their appointments.