Section 26-A4301. CONSULTATION REFERRAL FORM

4301.1The health insurer may not impose as a condition of coverage a requirement to modify the uniform consultation referral form or to require the submission of additional consultation referral forms.

4301.2The health insurer may provide a separate set of instructions for use by the health care provider regarding the health insurer’s specific managed care requirements7, and the instructions may be preprinted on the back of the uniform consultation referral form, if the instructions do not result in any modifications in the format, of, or information categories directed to be supplied on the front of the uniform consultation referral form.

4301.3The health insurer may provide stamps or preprinted stickers to include additional information to be inserted in the health insurer information block.

4301.4The health insurer may preprint the designated health insurer information in the health insurer information field on the uniform consultation referral form.

4301.5The health care provider shall use the uniform consultation referral form and complete it properly.

4301.6The consultant or facility provider shall accept a properly completed uniform consultation referral form.

authority

The Commissioner of the Department of Insurance, Securities and Banking, pursuant to the authority set forth in § 4 of the Uniform Consultation Referral Form Act of 2002, effective April 13, 2002 (D.C. Law 14-97; D.C. Official Code § 31-3233)(Supp. 2002).

source

Notice of Final Rulemaking published at 54 DCR 5295 (May 25, 2007).