A.__The board is responsible for collecting information and documentation from individuals and insurance companies and reimbursing providers in the State.

A person who is unable to provide information or documentation of health care plan eligibility because of a health care condition is covered for the period in which that person is unable to provide the information.

2.__Covered health care services.__The plan must provide coverage for health care services from a provider within this State if those services are determined medically necessary by the provider for the patient, except that the plan may not provide cosmetic services.__Copayments may be charged only as charged under current Medicaid coverage.__Deductibles may not be charged to plan enrollees.__The plan must be at least as inclusive as Medicaid coverage.__This subsection does not preclude supplementary benefit insurance for services that are not medically necessary.__Covered health care must include all services and providers for which coverage is mandated under this Title and must include all coverage offered by the Medicaid program.

3.__Service delivery.__Covered health care services are governed by this subsection.

A.__Covered health care services must be provided to plan enrollees by participating providers who are located within the State and who are chosen by the plan enrollees.

B.__The plan must pay for health care services provided to a plan enrollee while the enrollee is temporarily outside the State.__The maximum period of time a plan enrollee may be covered while out of state is 90 days per year.__A plan enrollee may qualify to begin services out of state but, in order to receive continued treatment, may be required to receive treatment within the State.__Reimbursement for services rendered out of state must be at rates set by the board.

C.__A participating provider may not charge plan enrollees or 3rd parties for covered health care services in excess of the amount reimbursed to that provider by the plan.

D.__A participating provider may not refuse to provide services to a plan enrollee on the basis of health status, medical condition, previous insurance status, race, color,