Maine Code § 24-A-4306-A

Patient access to obstetrical and gynecological care
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Notwithstanding any other requirements of this Title, a carrier offering a health plan in this State
subject to the requirements of the federal Affordable Care Act: [PL 2011, c. 364, §29 (NEW).]
1. Authorization or referral not required. May not require authorization or referral by the carrier
or any other person, including a primary care provider, in the case of a female enrollee who seeks
coverage for obstetrical or gynecological care provided by a participating health care professional as
described in the federal Affordable Care Act who specializes in obstetrics or gynecology. The health
care professional shall agree to otherwise adhere to the health plan's or carrier's policies and procedures,
including procedures regarding referrals and obtaining prior authorization and providing services
pursuant to a treatment plan, if any, approved by the carrier; and
[PL 2011, c. 364, §29 (NEW).]
2. Treated as primary care. Shall treat the provision of obstetrical and gynecological care by a
participating health care professional as described in the federal Affordable Care Act who specializes
in obstetrics or gynecology, pursuant to subsection 1, as authorized by the primary care provider and
the authorization of related obstetrical and gynecological items and services by that professional as the
authorization of the primary care provider.
[PL 2011, c. 364, §29 (NEW).]

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