Provider’s Opinion. Members are entitled to the full range of their health care Provider’s opinions and counsel about the availability of Medically Appropriate services under the OHP.
Provider’s Opinion. The terms and conditions of Section 3, Exhibit B, Part 3 in the Medicaid Contract are incorporated by reference and have the same force and effect as though they are fully set forth herein.
Provider’s Opinion a. Members are entitled to the full range of their health care Provider’s opinions and counsel about the availability of Medically Appropriate services under the OHP.
b. Contractor shall not prohibit or otherwise restrict a Health Care Professional from advising a Member who is a patient of that professional about the health status of the Member or treatment for the Member’s condition or disease, regardless of whether benefits for such care or treatment are provided under the OHP Plus or OHP Standard Benefit Package of Covered Services or if a Co-Payment may be required, if the professional is acting within the lawful scope of practice.
