Section 19-147 – Ratings Examiners
(a) The Commission shall approve an entity that meets the requirements of this section to be a ratings examiner. (b) To be approved by the Commission as a ratings examiner, an entity examining a physician rating system shall require a physician rating system to: (1) Use only quality of performance and cost efficiency as measurement categories; (2) Calculate and […]
Section 19-136 – Obtaining Information Relating to the Utilization or Cost of Health Care Services
In any matter that relates to the utilization or cost of health care services rendered by health care practitioners or office facilities, the Commission may: (1) Hold a public hearing; (2) Conduct an investigation; or (3) Require the filing of any reasonable information.
Section 19-137 – Investigations to Authenticate Information
If the Commission considers a further investigation necessary or desirable to authenticate information in a report that a health care practitioner or office facility files under this subtitle, the Commission may make necessary further examination of the records or accounts of the health care practitioner or office facility, in accordance with the regulations of the […]
Section 19-121 – Certificate of Need — Health Maintenance Organizations
(a) In this section, “health maintenance organization” means a health maintenance organization under Subtitle 7 of this title. (b) (1) A health maintenance organization or a health care facility that either controls, directly or indirectly, or is controlled by a health maintenance organization shall have a certificate of need before the health maintenance organization or health care facility […]
Section 19-142 – Definitions
(a) In this Part IV of this subtitle the following words have the meanings indicated. (b) “Carrier” means: (1) An insurer; (2) A nonprofit health service plan; (3) A health maintenance organization; or (4) Any other person that provides health benefit plans subject to regulation by the State. (c) “Electronic health record” means an electronic record of health–related information on an individual […]
Section 19-122 – Certificate of Need — Domiciliary Care Projects
A certificate of need is not required to delete, expand, develop, operate, or participate in a health care project for domiciliary care.
Section 19-143 – Electronic Health Records
(a) (1) On or before October 1, 2009, the Commission and the Health Services Cost Review Commission shall designate a health information exchange for the State. (2) The Secretary, to align funding opportunities with the purposes of this section and the development and effective operation of the State–designated health information exchange, may provide grants to the State–designated health […]
Section 19-123 – Certificate of Need — Continuing Care Community Exemption; Direct Admissions Into Nursing Facility
Notwithstanding the provisions of § 19-114(d)(2)(ii) of this subtitle, a continuing care community does not lose its exemption from certificate of need requirements when the continuing care community admits an individual directly to a nursing facility within the continuing care community if: (1) The admittee’s spouse or relative is admitted at the same time under a […]
Section 19-144 – Electronic Advance Directives Services
(a) To facilitate the use of Web–based technology for electronic advance directives, the Maryland Health Care Commission shall develop criteria for recognizing electronic advance directives services that are authorized to connect to the State–designated health information exchange. (b) To be authorized to connect to the State–designated health information exchange, an electronic advance directives service shall: (1) Be recognized […]
Section 19-124 – Certificate of Need — Direct Admissions Into Comprehensive Care Nursing Bed
(a) Notwithstanding the provisions of § 19-114(d)(2)(ii) of this part, a continuing care community that qualifies for an exemption from a certificate of need under § 19-114(d)(2)(ii) of this part may admit a subscriber directly into a comprehensive care nursing bed only if, at the time of admission, the subscriber has the potential for an eventual […]