TITLE XXXVII
INSURANCE

CHAPTER 420-J
MANAGED CARE LAW

Section 420-J:6-a

    420-J:6-a Obstetrical-Gynecological Coverage. –
I. Health plans shall not require prior authorization by a covered person's primary care provider for coverage of the following services provided by participating providers who specialize in obstetrics and gynecology:
(a) Maternity care;
(b) An annual gynecological visit; and
(c) Follow-up care for obstetrical or gynecological conditions identified during such maternity care or annual gynecological visit.
II. Health plans may establish reasonable requirements for participating obstetricians and gynecologists to communicate with the covered person's primary care provider regarding the covered person's condition, treatment, and any need for follow-up care.

Source. 1998, 319:1, eff. Jan. 1, 1999.