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§ 19-705.6. Emergency services, authorization for medical or surgical providers

West's Annotated Code of MarylandHealth--General

West's Annotated Code of Maryland
Health--General
Title 19. Health Care Facilities (Refs & Annos)
Subtitle 7. Health Maintenance Organizations (Refs & Annos)
MD Code, Health - General, § 19-705.6
§ 19-705.6. Emergency services, authorization for medical or surgical providers
Currentness
In general
(a) If it is necessary to provide emergency services, authorization shall be presumed for utilizing the medical or surgical provider on call for unassigned patients or the appropriate specialist on call for the hospital on that date if:
(1) A telephone access system is not operational at the time of the call; or
(2) A member's primary care provider or the specialist needed by a member cannot be determined within a reasonable time, as determined by the treating emergency physician but not to exceed 30 minutes after the initial documented call to the telephone access system.
Specialist providers outside service area
(b) This section may not be construed to require a health maintenance organization to have contracted specialist providers at hospitals outside of the service area of the health maintenance organization.

Credits

Added by Acts 1997, c. 363, § 1, eff. July 1, 1997.
MD Code, Health - General, § 19-705.6, MD HEALTH GEN § 19-705.6
Current through legislation effective through April 25, 2024, from the 2024 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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