B.__Subsection 2, paragraphs A to C apply to referrals under this subsection as they apply to referrals under subsection 2.

4.__Standing referrals.__The following applies to standing referrals.

A.__A carrier shall have a procedure by which an enrollee who has a condition that requires ongoing care from a specialist may receive a standing referral to a specialist for treatment of that condition. If the carrier or the primary care provider in consultation with the medical director of the carrier and the specialist determines that a standing referral is appropriate, the carrier shall make a standing referral to the specialist.

B.__Subsection 2, paragraphs A to C apply to referrals under this subsection as they apply to referrals under subsection 2.

§4311.__Continuity of Care

1.__Termination of provider.__If a contract between a carrier and a health care provider is terminated or benefits or coverage provided by a health care provider are terminated because of a change in the terms of provider participation in a managed care plan and an enrollee in the plan or receiving the coverage is undergoing a course of treatment from the provider at the time of that termination, the carrier shall notify the enrollee on a timely basis of the termination and pursuant to subsection 3, shall permit the enrollee to continue coverage for that course of treatment with the provider during a transitional period provided under subsection 2.__If a contract for the provision of health insurance coverage between a plan sponsor and a carrier is terminated and, as a result of that termination, coverage of services of a health care provider is terminated with respect to an enrollee, this section applies to the managed care plan as if a contract between the carrier and the provider had been terminated, but only with respect to benefits that are covered under the managed care plan after the contract termination.

2.__Transitional period.__The following requirements apply.