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UNOFFICIAL 1720.1-8 (10) The participating health plan’s refusal, because of moral or religious objections, to cover the service the individual seeks as allowed for in the department’s contract with the participating health plan; (11) The individual’s need for related services(e.g., a cesarean section and a tubal ligation) to be performed at the same time and not all related services are available within the network and the individual’s primary care physician or another provider determines that receiving the services separately would subject the individual’s to unnecessary risk; (12) Lack of direct access to women’s health care specialists for breast cancer screening, pap smears and pelvic exams; (13) Other reasons, including but not limited to, poor quality of care, lack of access to covered services, or lack of access to providers experienced in dealing with the individual’s health care needs, lack of direct access to certified nurse midwives, pediatric nurse practitioners, family nurse practitioners, if available in the geographic area in which the individual resides; (14) Relocation of the individual to a service area where the health plan in which they were enrolled does not provide services; (15) The individual missed the annual plan change period due to a temporary loss of Medicaid eligibility and was re-enrolled in their previous health plan; or (16) Other special circumstances as determined by the department. (c) When changing health plans, an individual shall select among health plans participating in the service area in which the individual resides that are open to new members except as described in section 17- 1720.1-19.