(a)
- (1) Before an entity may operate as a provider-sponsored organization under the federal Medicare+Choice Program, the entity must obtain a license from the Commissioner.
- (2) The Commissioner shall issue a license under paragraph (1) of this subsection to any entity to operate as a provider-sponsored organization that meets the requirements of subsection (b) of this section.
(b) To operate as a provider-sponsored organization under the federal Medicare+Choice Program in this State, an entity shall:
- (1) Meet the definition of a provider-sponsored organization under § 19-7A-01 of this subtitle; and
- (2) Meet the requirements applicable to a health maintenance organization under Subtitle 7 of this title to the extent those requirements are not preempted by federal law.
Added by Acts 1998, c. 213, § 1, eff. June 1, 1998.