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Chapter 1451

Access to Certain Practitioners and Facilities

Subchapter A. General Provisions

1451.001 Definitions; Health Care Practitioners

Subchapter B. Designation of Practitioners under Accident and Health Insurance Policy

1451.051 Applicability of Subchapter 1451.052 Applicability of General Provisions of Other Law 1451.053 Practitioner Designation 1451.054 Terms Used to Designate Health Care Practitioners

Subchapter C. Selection of Practitioners

1451.101 Definitions 1451.102 Applicability of Subchapter 1451.103 Conflicting Provisions Void 1451.104 Nondiscriminatory Payment or Reimbursement; Exception 1451.105 Selection of Acupuncturist 1451.106 Selection of Advanced Practice Nurse 1451.107 Selection of Audiologist 1451.108 Selection of Chemical Dependency Counselor 1451.109 Selection of Chiropractor 1451.110 Selection of Dentist 1451.111 Selection of Dietitian 1451.112 Selection of Hearing Instrument Fitter and Dispenser 1451.113 Selection of Licensed Clinical Social Worker 1451.114 Selection of Licensed Professional Counselor 1451.115 Selection of Surgical Assistant 1451.116 Selection of Marriage and Family Therapist 1451.117 Selection of Nurse First Assistant 1451.118 Selection of Occupational Therapist 1451.119 Selection of Optometrist 1451.120 Selection of Physical Therapist 1451.121 Selection of Physician Assistant 1451.122 Selection of Podiatrist 1451.123 Selection of Psychological Associate 1451.124 Selection of Psychologist 1451.125 Selection of Speech-Language Pathologist 1451.126 Reimbursement for Physical Modalities and Procedures by Health Insurer, Administrator, Health Maintenance Organization, or Preferred Provider Benefit Plan Issuer 1451.1261 Reimbursement for Certain Services and Procedures Performed by Pharmacists 1451.127 Duty of Person Arranging Provider Contracts for Health Insurer or Health Maintenance Organization 1451.128 Selection of Pharmacist 1451.129 Selection of Physician Graduate

Subchapter D. Access to Optometrists Used under Managed Care Plan

1451.151 Definition 1451.152 Applicability and Construction of Subchapter 1451.153 Use of Optometrist or Therapeutic Optometrist 1451.154 Participation of Therapeutic Optometrist 1451.1545 Participation in Vision Care Plan; Effect on Other Plans 1451.155 Contracts with Optometrists or Therapeutic Optometrists 1451.156 Certain Conduct Prohibited 1451.157 Vision Plan Conduct 1451.158 Enforcement of Subchapter

Subchapter E. Dental Care Benefits in Health Insurance Policies or Employee Benefit Plans

1451.201 Definitions 1451.202 Applicability and Construction of Subchapter 1451.203 Conflicting Provisions 1451.204 Certain Conduct Permitted 1451.205 Disclosure of Benefit Terms 1451.206 Payment or Reimbursement of Dentist 1451.2065 Contracts with Dentists 1451.207 Prohibited Conduct 1451.208 Prior Authorization of Dental Care Services 1451.209 Requirements for Third Party Access to Provider Networks

Subchapter F. Access to Obstetrical or Gynecological Care

1451.251 Definition 1451.252 Applicability of Subchapter 1451.253 Exception 1451.254 Rules 1451.255 Right of Female Enrollee to Select Obstetrician or Gynecologist 1451.256 Direct Access to Services of Obstetrician or Gynecologist 1451.257 Availability of Providers 1451.258 Notice of Available Providers 1451.259 Limits on Physician Sanctions 1451.260 Administrative Penalty

Subchapter G. Access to Dietitian Services

1451.301 Applicability of General Provisions of Other Law 1451.302 Dietitian Services

Subchapter H. Disability Certified by Podiatrist

1451.351 Loss of Income Benefits for Disability Treatable by Podiatrist

Subchapter I. Use of Osteopathic Hospital

1451.401 Contract with Osteopathic Hospital 1451.402 Services at Osteopathic Hospital 1451.403 Request for Action of Commissioner 1451.404 Enforcement

Subchapter J. Reimbursement of Health Care Providers

1451.451 Reimbursement under Medicaid-Based Fee Schedule

Subchapter K. Health Care Provider Directories

1451.501 Definitions 1451.502 Applicability of Subchapter 1451.503 Exception 1451.504 Physician and Health Care Provider Directories 1451.505 Physician and Health Care Provider Directory on Internet Website