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Maryland Code

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General Provisions

State of Maryland

15-101Application of title 15-102Third-party ownership of policies 15-103Simplified language requirements 15-104Nonduplication and coordination of coverage provisions 15-105Coverage information about breast implant removals and breast implant-related conditions 15-106Home medical equipment 15-107Notice to pharmacies of change in pharmaceutical benefits 15-108Record keeping procedures 15-109Minimum loss ratio for specified disease policies 15-110Payment for referrals for health care services prohibited 15-111Assessment of fees on payors 15-112Powers and duties of carriers relating to provider panels 15-112.1Uniform credentialing form for health care providers 15-112.2Restrictions relating to provider contracts and provider panels 15-112.3Multi-carrier common online provider directory information system 15-113Compensation of health care practitioners 15-114Dental point-of-service option for additional coverage 15-115Providers choosing not to participate in managed care organization 15-116Communication of information necessary for delivery for health care services 15-117Indemnification of insurers and nonprofit health service plans 15-118Coinsurance payments for health care services 15-118.1Calculation of cost-sharing contributions; notice to insureds 15-119Uniform consultation referral form 15-120Regulations relating to uniform consultation referral form 15-121Reimbursement methodology or methodologies used to reimburse physicians for health care services 15-122Renewal of health benefit plans 15-122.1Advance directive information sheets 15-123Experimental medical care and process for evaluating emerging medical and surgical treatments 15-124Group health insurance policies not including dependent coverage 15-125Consent by health care provider required for carrier to assign, transfer, or subcontract health care provider contracts 15-126Emergency medical response and transportation systems in competition with Maryland Emergency Medical Services System (911) prohibited 15-127Explanation of behavioral health care services and exclusions provided to members at time of enrollment 15-128Repealed by Acts 2000, c. 320, § 1, eff. June 1, 2000 15-129Certificate of authority required for carrier to sell, issue, or deliver medical stop-loss insurance 15-130Health insurance benefit cards, prescription benefit cards, or other technology provided to insureds, subscribers, or enrollees 15-130.1Indication of which State agency regulates policy or contract included on health insurance benefit cards, prescription benefit cards, or other technology 15-131Pharmacies required to submit request and receive payments electronically 15-132Carrier incentives to health care providers 15-133Reporting requirements 15-134Grandfathered health plans 15-135Annual preventive care coverage 15-135.1Dental preventive care coverage 15-136Bonus payments for services provided outside business hours 15-137Abrogated by Acts 2010, c. 17, § 3, eff. July 1, 2011 15-137.1Repealed by Acts 2020, c. 620, § 1, eff. May 8, 2020; Acts 2020, c. 621, § 1, eff. May 8, 2020 15-138Direct reimbursement to ambulance service providers 15-139Health care services delivered through telehealth 15-140Continuity of health care during transitions from one carrier to another 15-141Request for confidential communications from carriers 15-142Step therapy or fail-first protocols 15-143Compensation arrangements between health care practitioner and health care entity 15-144Reports on coverage for mental health benefits and substance use disorder benefits; compliance with the Mental Health Parity and Addiction Equity Act 15-145Establishment of health savings accounts 15-146Application of federal No Surprises Act and Division BB, Title II, §§ 201-203 of the federal Consolidated Appropriations Act, 2021 15-147Premium funds for abortion coverage; segregated accounts; accounting; transfer of excess funds 15-148Transfer of funds for health care access grants