C.M.R. 10, 144, ch. 101, ch. IV, § 144-101-IV-1, subsec. 144-101-IV-1.07
Current through 2024-51, December 18, 2024
At the time the member is notified of his/her enrollment in the Restriction Plan, the member shall be advised that he/she may change his/her health care provider for any reasonable cause at a later date, by notifying the Program Integrity Unit. Program Integrity Unit Staff shall contact the proposed health care provider and arrange his/her participation in this member's restriction plan.
If the member, or health care provider, believes a second opinion is warranted or desirable, the second opinion provider payment may be authorized by contacting the Program Integrity Unit staff in advance of the second opinion.
C.M.R. 10, 144, ch. 101, ch. IV, § 144-101-IV-1, subsec. 144-101-IV-1.07