J.__Vision appliances, including lenses, frames and contact lenses, according to a schedule established by the agency;

K.__Medical supplies and durable medical equipment and selected assistance devices;

L.__Hospice care; and

M.__Health care services payable pursuant to Title 39-A for all employees whose date of injury is on or after July 1, 2006.

Rules adopted pursuant to this subsection are routine technical rules as defined in Title 5, chapter 375, subchapter 2-A.

4. Benefit delivery.__Covered health care services must be provided to plan members by the participating providers of their choice through organized delivery systems or the open plan.__The delivery of covered health care services to plan members is subject to the provisions of this subsection.__The agency shall adopt rules regarding benefit delivery by the plan that include, but are not limited to, the following.

A.__Organized delivery systems authorized by the agency may provide health care services to plan members.

B.__The open plan is available to all plan members and to all participating providers.

C.__The plan must pay for health care services provided to plan members while they are out of the State.__The plan member must have been out of the State temporarily for reasons other than to obtain the health care services, or the member must have obtained the health care services out of the State for compelling reasons related to the suitability of the services, the nature of the condition and personal circumstances.__The agency shall establish and operate a plan to pay for health care services provided to plan members while they are out of the State.__The payments must be made at the rates established by the agency for comparable services provided by the plan in the State.__ Charges in excess of the payment rates established in accordance with this paragraph are the responsibility of the plan member.

D.__The plan must pay cash benefits to a provider of health care services or to a plan member for a reasonable amount__