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27-13-36-1. Medical Director; Individual to Develop Treatment Policies and Consult With Treating Providers - Sec. 1. (a) Each health maintenance organization shall appoint a...
27-13-36-2. Sufficient Number and Type of Primary Care Providers - Sec. 2. Beginning July 1, 1999, each health maintenance organization...
27-13-36-2.5. Discrimination on Basis of Provider's License or Certification Prohibited - Sec. 2.5. (a) A health maintenance organization may not discriminate...
27-13-36-3. Adequate Number of Services and Providers Within Reasonable Proximity of Subscribers - Sec. 3. (a) The provisions of this section do not...
27-13-36-4. Specialty Areas of Primary Care Providers - Sec. 4. Beginning July 1, 1999, primary care providers shall...
27-13-36-5. Referrals to Out of Network Providers - Sec. 5. (a) The provisions of the section do not...
27-13-36-6. Continuation of Care Provisions - Sec. 6. (a) A health maintenance organization shall include provisions...
27-13-36-7. Telephone Access for Authorization of Care - Sec. 7. Each health maintenance organization shall provide the following:...
27-13-36-8. Guidelines for Establishing Reasonable Periods for Appointments - Sec. 8. (a) Each health maintenance organization shall establish guidelines...
27-13-36-9. Coverage and Reimbursement for Expenses for Care Obtained in an Emergency - Sec. 9. (a) As used in this section, "care obtained...
27-13-36-10. Access Plan to Meet Needs of Vulnerable, Underserved, and Non-English Speaking Enrollees - Sec. 10. Each health maintenance organization shall demonstrate to the...
27-13-36-11. Standards for Continuity of Care - Sec. 11. The health maintenance organization shall develop standards for...
27-13-36-12. Payment to Enrollee for Service Rendered by Nonparticipating Provider; Requirements - Sec. 12. (a) As used in this section, "nonparticipating provider"...