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Session Laws, 2003
Volume 799, Page 2175   View pdf image
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ROBERT L. EHRLICH, JR., Governor                             Ch. 261

(ii) For assistance in resolving a billing or payment dispute with
the health plan or a health care provider, the Health Education and Advocacy Unit of
the Consumer Protection Division of the Office of the Attorney General.

(C) (1) A MEMBER MAY SELECT A CERTIFIED NURSE PRACTITIONER AS THE
MEMBER'S PRIMARY CARE PROVIDER IF:

(I)      THE CERTIFIED NURSE PRACTITIONER PROVIDES SERVICES AT
THE SAME LOCATION AS THE CERTIFIED NURSE PRACTITIONER'S COLLABORATING
PHYSICIAN; AND

(II)     THE COLLABORATING PHYSICIAN PROVIDES THE CONTINUING
MEDICAL MANAGEMENT REQUIRED UNDER SUBSECTION (B)(5) OF THIS SECTION.

(2)      A MEMBER WHO SELECTS A CERTIFIED NURSE PRACTITIONER AS A
PRIMARY CARE PROVIDER SHALL BE PROVIDED THE NAME AND CONTACT
INFORMATION OF THE CERTIFIED NURSE PRACTITIONER'S COLLABORATING
PHYSICIAN.

(3)      THIS SUBSECTION MAY NOT BE CONSTRUED TO REQUIRE THAT A
HEALTH MAINTENANCE ORGANIZATION INCLUDE CERTIFIED NURSE
PRACTITIONERS ON THE HEALTH MAINTENANCE ORGANIZATION'S PROVIDER PANEL
AS PRIMARY CARE PROVIDERS.

[(c)] (D) (1) The health maintenance organization shall make available and
encourage appropriate history and baseline examinations for each member within a
reasonable time of enrollment set by it.

(2)     Medical problems that are a potential hazard to the person's health
shall be identified and a course of action to alleviate these problems outlined.

(3)     Progress notes indicating success or failure of the course of action
shall be recorded.

(4)     The health maintenance organization shall:

(i) Offer or arrange for preventive services that include health
education and counseling, early disease detection, immunization, and hearing loss
screening of newborns provided by a hospital before discharge;

(ii) Develop or arrange for periodic health education on subjects
which impact on the health status of a member population; and

(iii) Notify every member in writing of the availability of these and
other preventive services.

(5)     The health maintenance organization shall offer services to prevent a
disease if:

(i) The disease produces death or disability and exists in the
member population;

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Session Laws, 2003
Volume 799, Page 2175   View pdf image
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