CODE OF VIRGINIA

SERVICES OF CERTAIN PRACTITIONERS OTHER THAN PHYSICIANS TO BE COVERED (§
38.2-4221)

A. A nonstock corporation shall not fail or refuse, either directly or
indirectly, to allow or to pay to a subscriber for all or any part of the health
services rendered by any doctor of podiatry, doctor of chiropody, optometrist,
optician, chiropractor, professional counselor, psychologist, physical
therapist, clinical social worker, clinical nurse specialist who renders mental
health services, audiologist, speech pathologist, certified nurse midwife,
marriage and family therapist or licensed acupuncturist licensed to practice in
Virginia, if the services rendered (i) are services provided for by the
subscription contract and (ii) are services which the doctor of podiatry, doctor
of chiropody, optometrist, optician, chiropractor, professional counselor,
psychologist, physical therapist, clinical social worker, clinical nurse
specialist who renders mental health services, audiologist, speech pathologist,
certified nurse midwife, marriage and family therapist or licensed acupuncturist
is licensed to render in this Commonwealth.

B. If a subscription contract provides reimbursement for a service that may be
legally performed by a licensed pharmacist, reimbursement under the subscription
contract by the nonstock corporation shall not be denied because the service is
rendered by the licensed pharmacist provided that (i) the service is performed
for a subscriber for a condition under the terms of a collaborative agreement,
as defined in § 54.1-3300, between a pharmacist and the physician with whom the
subscriber is undergoing a course of treatment or (ii) the service is for the
administration of vaccines for immunization. Notwithstanding the provisions of
§ 38.2-4209, the nonstock corporation may require the pharmacist, any pharmacy
or provider that may employ such pharmacist, or the collaborating physician to
enter into a written agreement with the nonstock corporation as a condition for
reimbursement for such services. In addition, reimbursement to pharmacists
acting under the terms of a collaborative agreement under this subsection shall
not be subject to the provisions of § 38.2-4209.1.

HISTORY: Code 1950, § 32-195.10:1; 1966, c. 276, § 38.1-824; 1973, c. 428;
1979, cc. 13, 721; 1980, c. 682; 1986, c. 562; 1987, cc. 549, 551, 557; 1988, c.
522; 1989, cc. 7, 201; 1997, c. 203; 1998, c. 146; 2001, cc. 102, 475.