Common use of Second Medical Opinions Clause in Contracts

Second Medical Opinions. The County must have written policies for procedures guaranteeing each member’s right to receive information on available treatment options and alternatives, presented in a manner appropriate to the member’s condition and ability to understand for providing members the opportunity to have a second opinion from a qualified network provider subject to referral procedures approved by the Department. If an appropriately qualified provider is not available within the network, the County must authorize and reimburse for a second opinion outside the network at no charge to the member, excluding allowable copayments.

Appears in 5 contracts

Samples: Wraparound Milwaukee Program, Contract for Services, Contract for Services

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