(9) "PROVIDER" MEANS A PERSON LICENSED, CERTIFIED, OR
OTHERWISE AUTHORIZED UNDER THE HEALTH OCCUPATIONS ARTICLE OR THE
HEALTH - GENERAL ARTICLE TO PROVIDE HEALTH CARE SERVICES.

(B) A CARRIER THAT OWNS OR CONTRACTS WITH A MANAGED BEHAVIORAL
HEALTH CARE ORGANIZATION SHALL DISTRIBUTE TO ITS MEMBERS AT THE TIME OF
ENROLLMENT AN EXPLANATION OF:

(1) THE SPECIFIC BEHAVIORAL HEALTH CARE SERVICES COVERED AND
THE SPECIFIC EXCLUSIONS UNDER THE MEMBER'S CONTRACT;

(2) THE MEMBER'S RESPONSIBILITIES FOR OBTAINING BEHAVIORAL
HEALTH CARE SERVICES;

(3) THE REIMBURSEMENT METHODOLOGY THAT THE CARRIER AND
MANAGED BEHAVIORAL HEALTH CARE ORGANIZATION USE TO REIMBURSE
PROVIDERS FOR BEHAVIORAL HEALTH CARE SERVICES; AND

(4) THE PROCEDURE THAT A MEMBER MUST UTILIZE WHEN
ATTEMPTING TO OBTAIN BEHAVIORAL HEALTH CARE SERVICES OUTSIDE THE
NETWORK OF PROVIDERS USED BY THE CARRIER OR MANAGED BEHAVIORAL
HEALTH CARE ORGANIZATION.

(C) THE EXPLANATION THAT A CARRIER IS REQUIRED TO DISTRIBUTE UNDER
SUBSECTION (B)(3) OF THIS SECTION SHALL BE CONSISTENT WITH § 15-121(C) OF THIS
SUBTITLE.

(D) THE COMMISSIONER SHALL ADOPT REGULATIONS TO CARRY OUT THE
PROVISIONS OF THIS SECTION-
SECTION 2. AND BE IT FURTHER ENACTED, That the Laws of Maryland

read as follows:

Article - Insurance

15-126.

(D) (E) (1) EXCEPT AS PROVIDED UNDER PARAGRAPH (2) OF THIS
SUBSECTION, ON OR BEFORE MARCH 1 OF EACH YEAR, EACH CARRIER THAT
PROVIDES BEHAVIORAL HEALTH CARE SERVICES THROUGH A COMPANY OWNED
WHOLLY OR IN PART BY THE CARRIER OR THROUGH A CONTRACT WITH A MANAGED
BEHAVIORAL HEALTH CARE ORGANIZATION SHALL FILE WITH THE COMMISSIONER,
ON THE FORM REQUIRED BY THE COMMISSIONER, THE MENTAL HEALTH EXPENSE
RATIO FOR THE PROVISION OF BEHAVIORAL HEALTH CARE SERVICES TO MEMBERS.

(2) THE REQUIREMENTS OF PARAGRAPH (1) OF THIS SUBSECTION DO
NOT APPLY WHEN A COMPANY, FOR AN ADMINISTRATIVE FEE ONLY, SOLELY
ARRANGES A PROVIDER PANEL FOR A CARRIER FOR THE PROVISION OF BEHAVIORAL
HEALTH CARE SERVICES ON A DISCOUNTED FEE-FOR-SERVICE BASIS.

(E) THE COMMISSIONER SHALL ADOPT REGULATIONS TO CARRY OUT THE
PROVISIONS OF THIS SECTION.