(1) In providing for emergency services and care as a covered service, a health maintenance organization may not:
(a) Require prior authorization for the receipt of prehospital transport or treatment or for emergency services and care.
(b) Indicate that emergencies are covered only if care is secured within a certain period of time.
(c) Use terms such as “life threatening” or “bona fide” to qualify the kind of emergency that is covered.
(d) Deny payment based on the subscriber’s failure to notify the health maintenance organization in advance of seeking treatment or within a certain period of time after the care is given.
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