Coverage for Emergency Services

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Sec. 15. A managed care organization shall:

(1) cover and pay for all medically necessary screening services provided to an individual who presents to an emergency department with an emergency medical condition; and

(2) beginning July 1, 2001, neither deny nor fail to process a claim for reimbursement for emergency services on the basis that the enrollee's primary care provider's authorization code for the services was not obtained before or after the services were rendered.

As added by P.L.223-2001, SEC.7. Amended by P.L.152-2017, SEC.15.


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