Effective 28 Aug 1993
354.027. Discrimination in coverage or reimbursement for covered service by licensed persons, prohibited. — A health services corporation which provides its members or beneficiaries with coverage for certain services, or reimbursement therefor, shall provide such coverage or reimbursement in all situations in which the covered service is performed by a person duly licensed to perform such service. No health services corporation may discriminate in its coverage or reimbursement amounts for covered services among persons duly licensed to provide such covered services. The provisions of this section shall not apply to any federally qualified health maintenance organization. This section shall apply to all contracts issued or renewed on or after January 1, 1984. This section shall apply only to persons duly licensed as physicians, surgeons, optometrists, chiropractors, dentists, psychologists, pharmacists, pharmacies, or podiatrists, as defined by and in accordance with the statutes of the state of Missouri.
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(L. 1983 H.B. 127, A.L. 1993 H.B. 709)
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