|
|
Adverse decision or grievance decision, notice to member,
Benefits for specified disease or diagnosis, prohibited from being
subject to different copayment amounts, coinsurance,
deductibles, or maximum limits than those that apply to all
Carrier requirement that to serve on a provider panel a provider
must also serve on another provider panel, prohibition added;
notice to carrier of provider's intent to terminate participation
on provider panel, requirements added ........................................
Denial of reimbursement to health care provider for preauthorized
or approved services to patient, prohibitions added ....................
Dental plan organizations, capital and surplus requirements,
provisions altered ...........................................................................
Habilitative services for children, coverage for, requirements
added..............................................................................................
Hair prosthesis for hair loss from chemotherapy or radiation
treatment for cancer, coverage for, requirements added .............
Health Care Commission -
Authority to develop payment system for all State health care
practitioners, repealed; information on charges by
practitioners and reimbursements from payors, requirements
added ...........................................................................................
Fees assessed on hospitals, nursing homes, payors, and health
care practitioners and Health Services Cost Review
Commission user fees assessed on hospitals, restrictions on
use, provisions clarified..............................................................
Health Care Needs of Inmates in Transition from Correctional
Institutions, Task Force to Study the, established; report
required ...........................................................................................
In vitro fertilization, coverage eligibility requirements and
limitations, provisions altered.......................................................
Internal appeal process for members and providers to dispute
coverage decisions by carrier, and filing of complaints with
Insurance Commissioner, requirements added ............................
Long term care insurance premiums, income tax credit provisions
added ...............................................................................................
Maryland Children's Health Care Program, name changed from
Children and Families Health Care Program, eligibility
expanded, and provisions for participation under private option
plan, added; medical assistance for pregnant women, eligibility
expanded .........................................................................................
Medicaid estate recoveries, exclusion of assets exempted under
long-term care partnership program, U.S. Congress urged to
amend Social Security Act to allow ..............................................
|
329
371
449
253
254
355
31
92
326
64
375
466
282
283
371
242
15
16
JR3
JR14
|
1970
2101
2460
1558
1560
2039
375
685
1953
585
2120
2507
1656
1660
2101
1527
156
170
3557
3573
|
|
