Continuity of Care and Referrals When Specialty Care Warranted

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Sec. 3. Beginning July 1, 1999, each health maintenance organization shall provide continuity of care and referral to appropriate participating providers when specialty care is warranted, including the following:

(1) Enrollees have access to appropriate participating providers on a timely basis.

(2) Enrollees have a choice of appropriate participating providers when a referral is made.

As added by P.L.69-1998, SEC.15.


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