Ga. Comp. R. & Regs. 511-7-1-.07

Current through Rules and Regulations filed through November 21, 2024
Rule 511-7-1-.07 - Covered Services
(1) Health Care Providers may not perform Experimental/Clinically Unproven Procedures in connection with the Program. Health Care Providers shall only provide Covered Services as defined in Rule 511-7-1-.01(4).
(2) In the event that a Health Care Provider performs an Experimental/Clinically Unproven Procedure, the provider's claim to sovereign immunity shall be deemed waived and the Contract between the Health Care Provider and the Department shall terminate immediately.
(3) The Department reserves the right to approve, through written protocols, all referrals for specialty care and hospitalization, with the exception of Emergency Care.

Ga. Comp. R. & Regs. R. 511-7-1-.07

O.C.G.A. Secs. 31-2A-6, 31-8-200.

Original Rule entitled "Covered Services" adopted. F. Sep. 20, 2013; eff. Oct. 10, 2013.