Section 31-117.1 – Submission of Application; Waivers
(a) As soon as practicable but not later than July 1, 2018, the Exchange, in consultation with the Commissioner and as approved by the Board, shall submit a State Innovation Waiver application under § 1332 of the Affordable Care Act to establish a program for reinsurance and seek federal pass–through funding. (b) On or before December 31, […]
Section 31-118 – Funding for Operations of Exchange
(a) Beginning January 1, 2014, subject to subsections (b) and (c) of this section, the Exchange may: (1) impose user fees, licensing or other regulatory fees, or other assessments that do not exceed reasonable projections regarding the amount necessary to support the operations of the Exchange under this subtitle; or (2) otherwise generate funding necessary to support its […]
Section 31-119 – Administration of Exchange
(a) The Exchange shall be administered in a manner designed to: (1) prevent discrimination on the basis of race, color, national origin, disability, age, sex, gender identity, or sexual orientation; (2) streamline enrollment and other processes to minimize expenses and achieve maximum efficiency; (3) prevent waste, fraud, and abuse; and (4) promote financial integrity. (b) (1) The Exchange shall establish a full–scale […]
Section 31-120 – Criminal History Records Check for Contractors With Access to Federal Tax Information
(a) (1) In this section the following words have the meanings indicated. (2) “Central Repository” means the Criminal Justice Information System Central Repository of the Department of Public Safety and Correctional Services. (3) “Contractor” means an individual who: (i) is not a State employee with a position in the State Personnel Management System; and (ii) performs work functions for the Exchange […]
Section 31-121 – State Innovation Waiver
(a) The Exchange, in consultation with the Commissioner and as approved by the Board, may submit a State Innovation Waiver application under § 1332 of the Affordable Care Act to allow the State to administer the federal Small Business Health Care Tax Credit to small businesses for monthly premium payments. (b) Before applying for a State Innovation […]
Section 31-122 – State-Based Young Adult Health Insurance Subsidies Pilot Program — Purpose — Subsidy Eligibility and Payment Parameters Established — Funding — Monthly Tracking of Subsidy Expenditures
// EFFECTIVE UNTIL JUNE 30, 2024 PER CHAPTERS 777 AND 778 OF 2021 // (a) In this section, “Pilot Program” means the State–Based Young Adult Health Insurance Subsidies Pilot Program. (b) The Exchange, in consultation with the Commissioner and as approved by the Board, shall establish and implement a State–Based Young Adult Health Insurance Subsidies Pilot Program […]
Section 31-113 – Navigator Program for Individual Exchange
(a) (1) There is a navigator program for the Individual Exchange. (2) The navigator program for the Individual Exchange shall be: (i) administered by the Individual Exchange; and (ii) regulated by the Commissioner. (3) In administering the navigator program, the Individual Exchange shall consult with the Commissioner and the Maryland Department of Health to ensure consistency and compliance with all laws, […]
Section 31-113.1 – Consolidated Services Center
(a) In accordance with the requirement to operate a toll–free hotline under § 1311(d)(4) of the Affordable Care Act and § 31–108(b)(5) of this subtitle, the Exchange may establish a Consolidated Services Center. (b) (1) The CSC may employ individuals to assist the SHOP Exchange. (2) A CSC employee authorized to assist the SHOP Exchange: (i) may provide the services […]
Section 31-114 – Specific Financial Support for Services Not Required
(a) Nothing in this subtitle requires the Maryland Medical Assistance Program or the Maryland Children’s Health Program to provide any specific financial support to the Individual Exchange for the services provided by an Individual Exchange navigator or an Individual Exchange connector entity. (b) The financing arrangements between the Individual Exchange, the Maryland Medical Assistance Program, and the […]
Section 31-115 – Certification of Health Benefit, Dental, Vision Plans, and Stand-Alone Dental Plans
(a) The Exchange shall certify: (1) health benefit plans as qualified health plans; (2) dental plans as qualified dental plans, which may be offered by carriers as: (i) stand–alone dental plans; or (ii) dental plans sold in conjunction with or as an endorsement to qualified health plans; (3) vision plans as qualified vision plans, which may be offered by carriers as: […]