Chapter 36 - PATIENT PROTECTION; CLINICAL DECISION MAKING; ACCESS TO PERSONNEL AND FACILITIES
- 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