Missouri § 354.554 Standing referrals for certain members of community-based health maintenance organizations, when.

Missouri Statutes

§ 354.554 — Standing referrals for certain members of community-based health maintenance organizations, when.

Missouri § 354.554

Title XXIIICORPORATIONS, ASSOCIATIONS AND PARTNERSHIPS

Ch. 354Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans

This text of Missouri § 354.554 (Standing referrals for certain members of community-based health maintenance organizations, when.) is published on Counsel Stack Legal Research, covering Missouri primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Mo. Rev. Stat. § 354.554 (2026).

Text

Each community-based health maintenance organization shall offer coverage that allows an enrollee who suffers from a life-threatening condition or a degenerative, disabling condition requiring a regimen of specialized medical treatment lasting for six months or more to receive a standing referral for specialty care case management by a physician or specialty care center with expertise in treating the condition.  Under such specialty care case management, the provider shall coordinate primary and specialty care for the enrollee under a treatment plan approved by the health maintenance organization in consultation with the enrollee's primary care provider and the specialist physician or specialty care center.

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Each community-based health maintenance organization shall offer coverage that allows an enrollee who suffers from a life-threatening condition or a degenerative, disabling condition requiring a regimen of specialized medical treatment lasting for six months or more to receive a standing referral for specialty care case management by a physician or specialty care center with expertise in treating the condition. Under such specialty care case management, the provider shall coordinate primary and specialty care for the enrollee under a treatment plan approved by the health maintenance organization in consultation with the enrollee's primary care provider and the specialist physician or specialty care center.