The Patient Protection Notice is used by health plan sponsors and issuers to notify certain individuals of their right to (1) choose a primary care provider or a pediatrician when a plan or issuer requires participants or subscribers to designate a primary care physician; or (2) obtain obstetrical or gynecological care without prior authorization.
The latest form for Patient Protection and Affordable Care Act Patient Protection Notice expires 2022-05-31 and can be found here.
Document Name |
---|
Supporting Statement A |
Supplementary Document |
Approved without change |
Extension without change of a currently approved collection | 2022-03-15 | |
Approved with change |
Revision of a currently approved collection | 2021-08-24 | |
Improperly submitted and continue |
Revision of a currently approved collection | 2021-07-13 | |
Approved without change |
Extension without change of a currently approved collection | 2019-04-01 | |
Approved without change |
Revision of a currently approved collection | 2015-11-18 | |
Approved without change |
Extension without change of a currently approved collection | 2014-02-28 | |
Approved without change |
Extension without change of a currently approved collection | 2010-12-28 | |
Approved without change |
Revision of a currently approved collection | 2010-09-30 | |
Preapproved |
New collection (Request for a new OMB Control Number) | 2010-06-18 |