{"data":{"id":"us-mo/mo.-rev.-stat.-354.554","jurisdiction":"us-mo","citation":"Mo. Rev. Stat. § 354.554","heading":"Standing referrals for certain members of community-based health maintenance organizations, when.","body":"Each community-based health maintenance organization shall offer coverage that allows an enrollee who suffers from a life-threatening condition or a degenerative, disabling condition requiring a regimen of specialized medical treatment lasting for six months or more to receive a standing referral for specialty care case management by a physician or specialty care center with expertise in treating the condition. Under such specialty care case management, the provider shall coordinate primary and specialty care for the enrollee under a treatment plan approved by the health maintenance organization in consultation with the enrollee's primary care provider and the specialist physician or specialty care center.","path":["Title XXIII - CORPORATIONS, ASSOCIATIONS AND PARTNERSHIPS","Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans"],"source_url":"https://revisor.mo.gov/main/OneSection.aspx?section=354.554","current_through":"2026 legislative session (floor)","vintage":"","retrieved_at":"2026-09-03T22:23:27Z","sha256":"33e969807aa4c89f9e100f71ea93a527fc4eb7f647c0d8056f1fa7dc2898eb23","source_id":"us-mo","stale":false,"prev":"us-mo/mo.-rev.-stat.-354.552","next":"us-mo/mo.-rev.-stat.-354.556"},"notice":"GroundRules: Original legal text. Not legal advice."}