- A. An authorized carrier shall submit to the Individual Exchange the health benefit plan’s provider directory information for each QHP’s network.
- B. Provider directory data shall include the requirements specified in Insurance Article, §15-112(n)(3), Annotated Code of Maryland, as well as be current, accurate, and complete.
C. Provider directory data may include:
- (1) Program and community health center names;
- (2) Providers’ affiliations with certain facilities, programs, and centers; and
- (3) Any other information that may assist consumers in searching for specific programs or centers by name.
- D. Updated provider directory data requested in §B of this regulation shall be submitted in the format required by the Individual Exchange at least once every 15 calendar days.
Authority: Insurance Article, §§31-108, 31-115, and 31-116, Annotated Code of Maryland
Effective date: March 11, 2019 (46:5 Md. R. 309)
Regulation .07A amended effective February 19, 2024 (51:3 Md. R.154)