| | | board, the professional association must be chosen by majority | | vote of the appropriate category of providers. |
|
| | | 4.__Discrimination.__A participating provider may not refuse | | to provide services to a plan member on the basis of race, | | religious creed, color, national origin, ancestry, physical or | | mental disability, health status, medical condition, marital | | status, gender, sexual orientation, age, wealth or any other | | basis prohibited by the laws of this State.__This subsection may | | not be construed to require a provider to perform a particular | | service if the particular service is outside the provider's scope | | of practice or if the provider asserts a religious or | | conscientious objection to providing the particular service. |
|
| | | 5.__Provision of information by participating provider.__A | | participating provider shall make information available to the | | board and permit examination of the provider's records by the | | board as necessary for the purposes of this chapter. |
|
| | | 6.__Nonparticipating providers.__Except as provided in section | | 9804, providers not participating in the plan may not be | | reimbursed by the plan. |
|
| | | §9807.__Health plan administrator |
|
| | | Pursuant to rules adopted by the board, the board shall | | solicit bids from companies or nonprofit organizations to act as | | the administrator for the plan.__The board shall select the | | administrator based on the price and quality of the | | administrator's proposal, including the administrator's ability | | to implement the health plan in accordance with the requirements | | of this chapter.__The board may not enter into a contract with | | the administrator for a term longer than 5 years. |
|
| | | 1.__Duties.__Consistent with the requirements of this chapter, | | the administrator has the following duties: |
|
| | | A.__To administer the health plan for all claims for | | services covered under the plan; |
|
| | | B.__To provide for timely payments to participating | | providers as required under this chapter; |
|
| | | C.__To solicit bids for prescription drug contracts in order | | to achieve the lowest possible cost for drugs covered under | | the plan; |
|
| | | D.__To negotiate with providers and provider associations to | | set reimbursement levels and other terms of participation in | | the plan; |
|
|