An insurer shall not, under its health benefit plan prohibit a primary care physician from authorizing a covered person’s referral to a participating nonprimary care physician specialist. A primary care physician treating a covered person who has a chronic, disabling, congenital, or life-threatening condition may authorize a referral to a participating nonprimary care physician specialist, up to twelve (12) months or for the contract period, whichever is shorter. Under this referral arrangement the covered person shall have direct access to the nonprimary care physician specialist, without the need of further contact or referral by the primary care physician.
Effective: July 14, 2000
History: Created 2000 Ky. Acts ch. 262, sec. 22, effective July 14, 2000.