Ama Policy

Access to Specialists and Subspecialists in Managed Care Plans H-285.973

Network Adequacy

Our AMA: (1) advocates that all managed care plans be required to provide appropriate access, when geographically available, to representatives of all medical and surgical specialties and subspecialties; and (2) advocates that health plans not restrict appropriate referrals to medical and surgical subspecialists, including those specialties that are age group specific.

Policy Timeline

Sub. Resolution 707, I-94 Reaffirmed: CMS Rep. 3, A-96 Reaffirmed: CMS Rep. 3, A-98 Reaffirmation A-00 Reaffirmed: CMS Rep. 6, A-10 Reaffirmed: CMS Rep. 6, I-11 Reaffirmed in lieu of Res. 108, A-12, Reaffirmation: A-19