---
kind: "section"
citation: "45 C.F.R. § 152.22"
title: "45"
number: "152.22"
heading: "Access to services."
url: "https://uscodex.org/cfr/45/152.22"
---

# §152.22. Access to services.

- (a) **General rule.** A PCIP may specify the networks of providers from whom enrollees may obtain plan services. The PCIP must demonstrate to HHS that it has a sufficient number and range of providers to ensure that all covered services are reasonably available and accessible to its enrollees.
- (b) **Emergency services.** In the case of emergency services, such services must be covered out of network if:
  - (1) The enrollee had a reasonable concern that failure to obtain immediate treatment could present a serious risk to his or her life or health; and
  - (2) The services were required to assess whether a condition requiring immediate treatment exists, or to provide such immediate treatment where warranted.

## Notes

### Authority

Authority: Sec. 1101 of the Patient Protection and Affordable Care Act (Pub. L. 111-148).

### Source

Source: 75 FR 45029, July 30, 2010, unless otherwise noted.