Md. Code Ann., Ins. § 15-115
Providers choosing not to participate in managed care organization
Effective Oct 1, 1997Added by Acts 1997, c. 35, § 2, eff. Oct. 1, 1997. Amended by Acts 1997, c. 70, § 7, eff. Oct. 1, 1997.State of Maryland
(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.
- (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.
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.