Subtitle 10b—Private Review Agents
- MD Insurance T. 15, Subt. 10b, Refs & Annos
- § 15–10b–01. Definitions
- § 15–10b–02. Purpose of Subtitle
- § 15–10b–03. Certification of Private Review Agent Required to Conduct Utilization Review
- § 15–10b–04. Certificate Application
- § 15–10b–05. Utilization Review Plan Requirements
- § 15–10b–05. Utilization Review Plan Requirements
- § 15–10b–06. Determinations Relating to Treatment and Health Care Services
- § 15–10b–06. Determinations Relating to Treatment and Health Care Services
- § 15–10b–07. Adverse Decisions and Appeals
- § 15–10b–08. Internal Grievance Process for Patients and Health Care Providers
- § 15–10b–09. Review of Hospital Services Related to Maternity and Newborn Care
- § 15–10b–09.1. Grievance Decisions
- § 15–10b–10. Renewal and Expiration of Certificate
- § 15–10b–11. Prohibited Actions by Private Review Agents
- § 15–10b–12. Discipline for Violation of Subtitle
- § 15–10b–13. Right to Hearing and Appeal
- § 15–10b–14. Waiver of Requirements for Private Review Agent
- § 15–10b–15. List of Private Review Agents Issued Certificates
- § 15–10b–16. Reporting Requirements
- § 15–10b–17. Patient Referral Requirements
- § 15–10b–18. Intention of Private Review Agent to Withdraw Certificate
- § 15–10b–19. Examination of Private Review Agents
- § 15–10b–20. Examination of Pharmacy Benefit Managers Registered as Private Review Agents
- § 15–10b–20. Examination of Pharmacy Benefit Managers Registered as Private Review Agents
- § 15–10b–20. Examination of Pharmacy Benefit Managers Registered as Private Review Agents