KRS 304.17A-645: Covered person's access to participating nonprimary care physician

specialist.

An insurer shall not, under its health benefit plan prohibit a primary care physician from

authorizing a covered person's referral to a participating nonprimary care ph ysician

specialist. A primary care physician treating a covered person who has a chronic,

disabling, congenital, or life -threatening condition may authorize a referral to a

participating nonprimary care physician specialist, up to twelve (12) months or for the

contract period, whichever is shorter. Under this referral arrangement the covered person

shall have direct access to the nonprimary care physician specialist, without the need of

further contact or referral by the primary care physician.