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§ 15-115. Providers choosing not to participate in managed care organization

West's Annotated Code of MarylandInsurance

West's Annotated Code of Maryland
Insurance (Refs & Annos)
Title 15. Health Insurance
Subtitle 1. General Provisions (Refs & Annos)
MD Code, Insurance, § 15-115
§ 15-115. Providers choosing not to participate in managed care organization
Currentness
Carrier defined
(a)(1) In this section, “carrier” means:
(i) an insurer;
(ii) a nonprofit health service plan;
(iii) a health maintenance organization;
(iv) a dental plan organization; or
(v) any other person that provides health benefit plans subject to regulation by the State.
(2) “Carrier” includes an entity that arranges a provider panel for a carrier.
Providers under contract choosing not to participate in managed care organization
(b) A carrier that operates a managed care organization under Title 15, Subtitle 1 of the Health-General Article may not deny, limit, or otherwise impair the participation of a provider under contract with the carrier for choosing not to participate or limiting participation in the carrier's managed care organization if the carrier is in violation of § 15-102.5 of the Health-General Article.

Credits

Added by Acts 1997, c. 35, § 2, eff. Oct. 1, 1997. Amended by Acts 1997, c. 70, § 7, eff. Oct. 1, 1997.
Formerly Art. 48A, § 490FF.
MD Code, Insurance, § 15-115, MD INSURANCE § 15-115
Current through legislation effective through April 9, 2023, from the 2024 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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