Second Opinions. The Contractor shall have policies and procedures for rendering second opinions by Providers within the network, or by non-participating Providers. Upon request, the Contractor must provide for a second opinion from a qualified health care professional within the network, or arrange for the Member to obtain one outside the network from an Out-of-network Provider, at no cost to the Member.
Appears in 4 contracts
Sources: Contract for Administration of the Children’s Health Insurance Program, Contract for Administration of the Children’s Health Insurance Program, Contract for Administration of the Children’s Health Insurance Program
Second Opinions. The Contractor shall have policies and procedures for rendering second opinions by Providers providers within the network, or by non-participating Providersproviders. Upon request, the Contractor must provide for a second opinion from a qualified health care professional within the network, or arrange for the Member to obtain one outside the network from an Outa Non-of-network Contracted Provider, at no cost to the Member.
Appears in 2 contracts
Sources: Contract for Administration of the Children’s Health Insurance Program, Contract for Administration of the Children’s Health Insurance Program