A health care services organization that requires its enrollees to use a freestanding urgent care center as a condition of coverage or a reduction in copayment, coinsurance or deductible amounts for covered health care services shall:
- 1. Develop and maintain policies for the appropriate referral of its enrollees to freestanding urgent care centers. The health care services organization's medical director shall approve these policies.
- 2. Inform its enrollees through an appropriate means as to when to seek care at a freestanding urgent care center instead of using a higher level of care, such as a hospital emergency department.
- 3. At least every two years, review the performance of and recredential the freestanding urgent care centers under contract with the health care services organization.