Patient Protection; Clinical Decision Making; Access to Personnel and Facilities

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  5. Patient Protection; Clinical Decision Making; Access to Personnel and Facilities

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Section
27-13-36-1

Medical Director; Individual to Develop Treatment Policies and Consult With Treating Providers

Section
27-13-36-2

Sufficient Number and Type of Primary Care Providers

Section
27-13-36-2.5

Discrimination on Basis of Provider's License or Certification Prohibited

Section
27-13-36-3

Adequate Number of Services and Providers Within Reasonable Proximity of Subscribers

Section
27-13-36-4

Specialty Areas of Primary Care Providers

Section
27-13-36-5

Referrals to Out of Network Providers

Section
27-13-36-6

Continuation of Care Provisions

Section
27-13-36-7

Telephone Access for Authorization of Care

Section
27-13-36-8

Guidelines for Establishing Reasonable Periods for Appointments

Section
27-13-36-9

Coverage and Reimbursement for Expenses for Care Obtained in an Emergency

Section
27-13-36-10

Access Plan to Meet Needs of Vulnerable, Underserved, and Non-English Speaking Enrollees

Section
27-13-36-11

Standards for Continuity of Care

Section
27-13-36-12

Payment to Enrollee for Service Rendered by Nonparticipating Provider; Requirements