- (a) Medical and health services shall be provided or arranged in the service area by the Plan.
(b) Services shall be available to the Plan's employees with reasonable promptness considering:
- (1) Geographic location, hours of operation, and provisions for after-hours services; and
- (2) Staffing patterns and types of providers.
(c) A Plan whose service area is located in a nonmetropolitan area may provide service outside its area if:
- (1) The service is not primary or emergency care; and
- (2) Providers in the area are not sufficient to offer the service.
(d) The Plan shall ensure continuity of services using at least the following:
- (1) A provider responsible for coordinating the employee's services; and
- (2) A system to report on eligibility and services rendered to the injured worker.
Added at 12 Ok Reg 2977, eff 6-16-95 (emergency)
Added at 13 Ok Reg 2127, eff 6-13-96
Amended at 23 Ok Reg 2404, eff 6-25-06