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§ 15-102.3. Application of provider participation standards, prompt payment, and financial affa...

West's Annotated Code of MarylandHealth--GeneralEffective: January 1, 2021

West's Annotated Code of Maryland
Health--General
Title 15. Assistance Programs (Refs & Annos)
Subtitle 1. Medical and Pharmacy Assistance Programs (Refs & Annos)
Effective: January 1, 2021
MD Code, Health - General, § 15-102.3
§ 15-102.3. Application of provider participation standards, prompt payment, and financial affairs examination provisions
Insurance § 15-112
(a) The provisions of § 15-112(b)(1)(ii) and (2), (f) through (m), (r), (s), and (u) through (w) of the Insurance Article (Provider panels) shall apply to managed care organizations in the same manner they apply to carriers.
Insurance § 15-1005
(b) The provisions of § 15-1005 of the Insurance Article shall apply to managed care organizations in the same manner they apply to health maintenance organizations.
Insurance §§ 4-311, 15-604, 15-605, and 15-1008
(c) The provisions of §§ 4-311, 15-604, 15-605, and 15-1008 of the Insurance Article shall apply to managed care organizations in the same manner they apply to carriers.
Health General §§ 19-712, 19-713.2, and 19-713.3
(d)(1) The provisions of §§ 19-712(b), (c), and (d), 19-713.2, and 19-713. 3 of this article apply to managed care organizations in the same manner they apply to health maintenance organizations.
(2) The Insurance Commissioner shall consult with the Secretary before taking any action against a managed care organization under this subsection.
Insurance § 15-112.1
(e) The provisions of § 15-112.1 of the Insurance Article apply to managed care organizations in the same manner they apply to carriers.
Examination of financial affairs
(f) The Insurance Commissioner or an agent of the Commissioner shall examine the financial affairs and status of each managed care organization at least once every 5 years.
Insurance § 15-1628.3
(g) The provisions of § 15-1628.3 of the Insurance Article apply to pharmacy benefits managers that contract with managed care organizations in the same manner as they apply to pharmacy benefits managers that contract with carriers.
Insurance § 6-102.1 and managed care organizations
(h)(1) The provisions of § 6-102.1 of the Insurance Article apply to managed care organizations.
(2) For each calendar year that the Insurance Commissioner assesses a health insurance provider fee under § 6-102.1 of the Insurance Article, a managed care organization shall pay the fee on a quarterly basis in accordance with a schedule adopted by the Insurance Commissioner.
Insurance §§ 15-130 and 15-130.1
(i) The provisions of §§ 15-130 and 15-130.1 of the Insurance Article apply to managed care organizations and pharmacy benefits managers that contract with managed care organizations.

Credits

Added by Acts 1996, c. 352, § 1, eff. July 1, 1996. Amended by Acts 1997, c. 70, § 4, eff. Oct. 1, 1997; Acts 1999, c. 472, § 1, eff. Oct. 1, 1999; Acts 2000, c. 323, § 2, eff. June 1, 2000; Acts 2001, c. 29, § 1, eff. April 10, 2001; Acts 2007, c. 452, § 1, eff. July 1, 2007; Acts 2009, c. 90, § 1, eff. Oct. 1, 2009; Acts 2009, c. 91, § 1, eff. Oct. 1, 2009; Acts 2016, c. 309, § 1, eff. June 1, 2016; Acts 2019, c. 400, § 1, eff. May 13, 2019; Acts 2019, c. 597, § 1, eff. Oct. 1, 2019; Acts 2019, c. 598, § 1, eff. Oct. 1, 2019; Acts 2020, c. 525, § 1, eff. Jan. 1, 2021.
MD Code, Health - General, § 15-102.3, MD HEALTH GEN § 15-102.3
Current through legislation effective through June 1, 2022, from the 2022 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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