Indiana § 27-13-36-8 Guidelines for establishing reasonable periods for appointments

Indiana Statutes

§ 27-13-36-8 — Guidelines for establishing reasonable periods for appointments

Indiana·Title 27 INSURANCE·Art. 13 HEALTH MAINTENANCE ORGANIZATIONS·Ch. 36 Patient Protection; Clinical Decision Making; Access

(a)Each health maintenance organization shall establish guidelines for establishing reasonable periods of time within which an enrollee must be given an appointment with a participating provider, except as provided in section 9 of this chapter regarding emergency services.

(b)The guidelines described in subsection (a) must include appointment scheduling guidelines based on the type of health care services most often requested, including the following:

(1)Prenatal care appointments.

(2)Well-child visits and immunizations.

(3)Routine physicals.

(4)Adult preventive services.

(5)Urgent visits.

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(a) Each health maintenance organization
shall establish guidelines for establishing reasonable periods of time
within which an enrollee must be given an appointment with a
participating provider, except as provided in section 9 of this chapter
regarding emergency services.
(b) The guidelines described in subsection (a) must include
appointment scheduling guidelines based on the type of health care
services most often requested, including the following:
(1) Prenatal care appointments.
(2) Well-child visits and immunizations.
(3) Routine physicals.
(4) Adult preventive services.
(5) Urgent visits.

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