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§ 3002. Reimbursement for services

Purdon's Pennsylvania Statutes and Consolidated StatutesTitle 40 P.S. Insurance

Purdon's Pennsylvania Statutes and Consolidated Statutes
Title 40 P.S. Insurance (Refs & Annos)
Chapter 10. Insurance Reimbursement for Licensed Certified Nurse Midwife Services
40 P.S. § 3002
§ 3002. Reimbursement for services
Whenever an insurance policy, contract or certificate or health services reimbursement program provides for reimbursement for any health care service which is within those areas of practice for which a midwife may be licensed pursuant to the act of April 4, 1929 (P.L. 160, No. 155)1 or pursuant to statute in the state where the service is delivered, or for the cost of birthing facilities, the insured or any other person covered by the policy, contract or certificate, or health services or facilities reimbursement program shall be entitled to reimbursement for such service or use of the facilities whether the service is performed by a duly licensed physician or an osteopath or a duly licensed certified nurse midwife practicing within those areas for which the certified nurse midwife is licensed in the state where the licensed certified nurse midwife is practicing. Whenever such service is performed by a licensed certified nurse midwife and reimbursed by a professional health services plan corporation, the licensed certified nurse midwife shall be granted such rights of participation, plan admission and registration as may be granted by the professional health services plan corporation, under 40 Pa.C.S. Ch. 63 (relating to professional health services plan corporations)2 to a physician or osteopath performing such service. When payment is made for health care services performed by a licensed certified nurse midwife, no payment or reimbursement shall be payable to a physician or osteopath for the service performed by the licensed certified nurse midwife.

Credits

1981, Dec. 23, P.L. 583, No. 168, § 2, effective in 60 days. Amended 1982, Dec. 20, P.L. 1446, No. 328, § 1, imd. effective.

Footnotes

63 P.S. § 171 et seq.
40 Pa.C.S.A. § 6301 et seq.
40 P.S. § 3002, PA ST 40 P.S. § 3002
Current through Act 13 of the 2024 Regular Session. Some statute sections may be more current, see credits for details.
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