What constitutes the involuntary obtaining of services in respect of the PMBs from non – DSPs?
Involuntary obtained means: 1. the service was not available from the designated service provider or would not be provided without unreasonable delay; 2. immediate medical or surgical treatment for prescribed minimum benefit condition was required under circumstances or at locations which reasonably precluded the beneficiary from obtaining such treatment from a designated service provider; or 3. There was no designated service provider within reasonable proximity to the beneficiary’s ordinary place of business or personal residence.
