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Code of Maryland Regulations
Title 14
§ 35
Chapter 16
Md. Code Regs. 14.35.16
Plan Certification Standards
Effective Feb 19, 2024
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.01
Scope.
.02
Definitions.
.03
Qualified Health Plan Certification — In General.
.04
Qualified Health Plan Certification — Application.
.05
Qualified Health Plan Certification — Plan Service Areas.
.06
Qualified Health Plan Certification — Provider Directories Specific to Individual Exchange.
.07
Qualified Health Plan Certification — Essential Community Providers.
.08
Qualified Health Plan Certification — Network Adequacy.
.09
Qualified Health Plan Certification — Covered Prescription Drugs and Formularies.
.10
Qualified Health Plan Certification — Waiver Authority.
.11
Qualified Health Plan Denial, Suspension, and Revocation of Certification and Other Remedies.
.12
Qualified Health Plan Certification — On-going Compliance with Qualified Health Plan Certification Standards.