Rule 511-7-1-.07. Covered Services
- (1) Health Care Providers may not perform Experimental/Clinically Unproven Procedures in connection with the Program. Health Care Providers shall only provide Covered Services as defined in Rule 511-7-1-.01(4).
- (2) In the event that a Health Care Provider performs an Experimental/Clinically Unproven Procedure, the provider's claim to sovereign immunity shall be deemed waived and the Contract between the Health Care Provider and the Department shall terminate immediately.
- (3) The Department reserves the right to approve, through written protocols, all referrals for specialty care and hospitalization, with the exception of Emergency Care.
Authority: O.C.G.A. Secs. 31-2A-6, 31-8-200.
History. Original Rule entitled "Covered Services" adopted. F. Sep. 20, 2013; eff. Oct. 10, 2013.