| 3.__Specialists as primary care physicians.__A carrier shall |
have a procedure to allow an enrollee who has an ongoing special |
condition to receive a referral to a specialist who is |
responsible for and capable of providing and coordinating the |
enrollee's primary and specialty care.__If the enrollee's care |
would most appropriately be coordinated by such a specialist, the |
carrier shall allow the specialist to serve as the enrollee's |
primary care physician.__A specialist treating an enrollee in |
accordance with this subsection is permitted to treat the |
enrollee without a referral from the enrollee's primary care |
physician and may authorize such referrals, procedures, tests and |
other medical services as the enrollee's primary care physician |
would otherwise be permitted to provide or authorize, subject to |
the terms of a treatment plan. |