MARVIN MANDEL, Governor

1389

PARTICIPATE IN MATTERS OF POLICY AND OPERATION; AND

(11) THE ORGANIZATION WILL MAINTAIN A HEALTH
AND MEDICAL RECORDS SYSTEM WHICH IS READILY ACCESSIBLE BY
DULY AUTHORIZED PERSONS UNDER PROCEDURES ASSURING MAXIMUM
CONFIDENTIALITY AND WHICH IS ADEQUATE TO PROVIDE AN
ACCURATE DOCUMENTATION OF UTILIZATION FOR EVERY MEMBER.
THE HEALTH AND MEDICAL RECORDS SYSTEM SHALL CLEARLY
IDENTIFY, AT A MINIMUM, EACH PATIENT BY NAME, NUMBER, AGE
AND SEX, AND TO INDICATE CLEARLY:

(I)         THE SERVICES PROVIDED;

(II)      WHEN THE SERVICES WERE PROVIDED;

(III)       WHERE THE SERVICES WERE PROVIDED;

(IV)          BY WHOM THE SERVICES WERE
PROVIDED;

(?)           THE DIAGNOSIS AND PROGNOSIS, IF

APPROPRIATE;

(VI) THE TREATMENT;

(VII) ANY DRUG THERAPY; AND

(VIII)THE PATIENT'S HEALTH STATUS, IF
APPROPRIATE.

(B) THE COMMISSIONER MAY, IN ACCORDANCE WITH
REGULATIONS, PERMIT AN ORGANIZATION TO CONTACT POTENTIAL
MEMBERS PRIOR TO THE GRANTING OF A CERTIFICATE OF
AUTHORITY FOR THE PURPOSE OF DISCUSSING THE HEALTH CASE
SERVICES THE ORGANIZATION PROPOSES TO OFFER IF A
CERTIFICATE OF AUTHORITY WERE GRANTED.

[[(C) EVERY HEALTH MAINTENANCE ORGANIZATION
SUBJECT TO THIS SUBTITLE SHALL PAY A FEE OF $300 UPON
MAKING APPLICATION FOR A CERTIFICATE OF AUTHORITY UNDER
THIS SUBTITLE, AND, IN ADDITION, PAY THE REASONABLE SUMS
THE COMMISSIONER DETERMINES TO REPRESENT THE COST OF
MAKING THE INVESTIGATIONS REQUIRED UNDER THIS SECTION AND
SECTION 847 OF THIS SUBTITLE BY THE COMMISSIONER AND THE
DEPARTMENT OF HEALTH AND MENTAL HYGIENE.]]

(C)________UPON MAKING ITS INITIAL APPLICATION FOR A

CERTIFICATE OF AUTHORITY, EACH HEALTH MAINTENANCE
ORGANIZATION APPLICANT SHALL PAY A FEE OF $300. IN
ADDITION, THE APPLICANT SHALL PAY THE REASONABLE SUMS,
NOT TO EXCEED $2.500. WHICH THE COMMISSIONER DETERMINES
TO REPRESENT THE COST OF MAKING THE INVESTIGATIONS
REQUIRED UNDER THIS SECTION AND SECTION 847 OF THIS
SUBTITLE BY THE COMMISSIONER AND THE DEPARTMENT OF HEALTH