Discrimination on Basis of Provider's License or Certification Prohibited

  1. Law
  2. Indiana Code
  3. Insurance
  4. Health Maintenance Organizations
  5. Patient Protection; Clinical Decision Making; Access to Personnel and Facilities
  6. Discrimination on Basis of Provider's License or Certification Prohibited

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Sec. 2.5. (a) A health maintenance organization may not discriminate against a provider acting within the scope of the provider's license or certification with respect to:

(1) participation;

(2) reimbursement;

(3) indemnification; or

(4) scope of care;

solely on the basis of the provider's license or certification.

(b) This section does not require a health maintenance organization to enter into a contract with a provider that would allow the provider to enter the health maintenance organization network.

As added by P.L.233-1999, SEC.13.


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