§ 44-302.02. Standing referrals to specialists.

Current through October 23, 2012

(a) In general, subject to subsection (b) of this section, a health benefits plan shall permit a member to receive medically necessary or appropriate specialty care for more than one visit without having to obtain the insurer's approval for subsequent visits authorized by a primary care provider.

(b) Subsection (a) of this section shall not apply to specialty care if the insurer informs the member, orally and in writing, of any limitation on the choice of participating providers with respect to such care.

                
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(Apr. 27, 1999, D.C. Law 12-274, § 202, 46 DCR 1294.)

HISTORICAL AND STATUTORY NOTES

Prior Codifications

1981 Ed., § 32-572.2.

Legislative History of Laws

For legislative history of D.C. Law 12-274, see Historical and Statutory Notes following § 44-301.01.