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spec: 514 and section 865 . If the MCO or primary care provider , in consultation with the MCO medical director and a specialist with expertise in serving the enrollee 's condition or disease , determines that the enrollee 's care would most appropriately be coordinated by such a specialist , the MCO shall permit a standing referral and direct access to the specialist . Note that under this suggested language , the MCO would be responsible for coordinating with public agencies that seek to coordinate with it . In both instances , the MCO must seek disenrollment through the formal process described in Chapter 23 of this Protocol . Under the stop loss program , the MCO will manage , coordinate and pay for inpatient chemical dependence rehabilitation or treatment days for patients who exceed their 30 day inpatient benefit . The range of topics covered by the conference underscores just how far-reaching are the effects of household debt on Americans . If the hospital is not part of the MCO 's network and an initial triage reveals the visit to be non-emergent , the MCO will be responsible for paying the hospital a triage fee in accordance with State law . Credits will not be awarded on travel industry rates , wholesale tour packages , insurance / dealer replacement , and any other promotional rates or group travel . We are dealing with 10 ( 1 ) , 10 ( 2 ) , and 11 of amending those three sections of the bill , so I would propose that I would accept motions , proposals to amend those sections separately , and we will then accept it as a whole . Under the stop loss program , the MCO will manage , coordinate and pay for mental health outpatient visits and inpatient hospital days for patients who exceed their 20 outpatient visits or 30 inpatient days ( 1 ) benefit . He is the real deal . Washington Library Center , offers the largest collection of children 's books in Chicago .