(a) In this subtitle the following words have the meanings indicated. (b) “Commissioner” means the Maryland Insurance Commissioner. (c) “Health care services” means a health or medical care procedure or service rendered by a health care provider that: (1) Provides testing, diagnosis, or treatment of a human disease or dysfunction; or (2) Dispenses drugs, medical devices, medical appliances, or medical […]
(a) A license issued to a provider-sponsored organization under this subtitle authorizes the licensee to provide health care services only to Medicare beneficiaries under the federal Medicare+Choice Program. (b) Nothing in this subtitle may be construed to limit a provider-sponsored organization from participating in the Medicaid program as a managed care organization.
(a) (1) Before an entity may operate as a provider-sponsored organization under the federal Medicare+Choice Program, the entity must obtain a license from the Commissioner. (2) The Commissioner shall issue a license under paragraph (1) of this subsection to any entity to operate as a provider-sponsored organization that meets the requirements of subsection (b) of this section. (b) To […]
(a) The Commissioner shall adopt regulations to implement the provisions of this subtitle. (b) Except as provided in subsection (c) of this section, regulations relating to the solvency of a provider-sponsored organization adopted under subsection (a) of this section shall impose solvency requirements the same as required under federal law. (c) Upon the expiration, repeal, or termination of […]
