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IC 27-13-36 – Patient Protection; Clinical Decision Making; Access to Personnel and Facilities | Midpage
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Indiana Code
Title 27
13
Chapter 36
IC 27-13-36
Patient Protection; Clinical Decision Making; Access to Personnel and Facilities
1
Medical director; individual to develop treatment policies and consult with treating providers
2
Sufficient number and type of primary care providers
2.5
Discrimination on basis of provider's license or certification prohibited
3
Adequate number of services and providers within reasonable proximity of subscribers
4
Specialty areas of primary care providers
5
Referrals to out of network providers
6
Continuation of care provisions
7
Telephone access for authorization of care
8
Guidelines for establishing reasonable periods for appointments
9
Coverage and reimbursement for expenses for care obtained in an emergency
10
Access plan to meet needs of vulnerable, underserved, and non-English speaking enrollees
11
Standards for continuity of care
12
Payment to enrollee for service rendered by nonparticipating provider; requirements