354.612. Continuation of care after provider termination, when. — 1. Contracts between health plans and providers shall include a provision for the continuation of care to enrollees for a period of up to ninety days by a provider who terminates or is terminated from a network where the continuation of care is medically necessary and in accordance with the dictates of medical prudence, including circumstances such as disability, pregnancy, or life-threatening illness.
2. Such provision for the continuation of care shall guarantee that the enrollee shall not be liable to the provider for any amounts owed for medical care other than deductibles or co-payment amounts specified in the certificate of coverage or other contract between the enrollee and the health plan.
3. In the event the terminated provider is authorized to continue treating the enrollee pursuant to this section, the health plan shall have an obligation to pay the terminated provider at the previously contracted rate for services provided to the enrollee.
--------
(L. 1997 H.B. 335)
---- end of effective 28 Aug 1997 ----
|
|
|||
| Click here for the Reorganization Act of 1974 - or - Concurrent Resolutions Having Force & Effect of Law | |||
| In accordance with Section 3.090, the language of statutory sections enacted during a legislative session are updated and available on this website on the effective date of such enacted statutory section. |
|
||
|
|
|||
| Recent Sections | Editorials | May Be Cited As | Tables & Forms | Multiple Enact |
| Repeal & Transfer | Definitions | End Report | ||
|
|
||||
| Site changes | Pictures | Contact | ||
| Legislative Research | Oversight | MOLIS | |||
| Library | MO WebMasters |
| Errors / suggestions - WebMaster@LR.mo.gov |
|
©Missouri Legislature, all rights reserved. | |||||||
|
|
|
|
|
|||||
