36-2910
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36-2910. Notification to system of nonemergency services A. Except as otherwise specifically provided by this article, the system is financially responsible for only the costs of care provided by contractors to members. B. For purposes of eligibility determination and enrollment in the system, the director may adopt rules to establish notification procedures for contractors and noncontracting providers of care provided to persons who may be eligible or who have been determined eligible. The director may condition payment for such services on the compliance of a contractor or noncontracting provider with the notification procedures. The director may adopt rules that establish procedures and notices for the transfer of members between contractors and noncontracting providers as the transfer relates to the system. |