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2005 LAWS OF MARYLAND
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Ch. 316
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(2) health maintenance organizations that provide inpatient
hospitalization coverage to individuals or groups under contracts that are issued or
delivered in the State.
(c) An entity subject to this section shall provide coverage for the cost of
inpatient hospitalization services for a mother and newborn child for a minimum of:
(1) 48 hours of inpatient hospitalization care after an uncomplicated
vaginal delivery; and
(2) 96 hours of inpatient hospitalization care after an uncomplicated
cesarean section.
(d) A mother may request a shorter length of stay than that provided in
subsection (c) of this section if the mother decides, in consultation with the mother's
attending provider, that less time is needed for recovery.
(e) (1) For a mother and newborn child who have a shorter hospital stay
than that provided under subsection (c) of this section, an entity subject to this section
shall provide coverage for:
(i) one home visit scheduled to occur within 24 hours after hospital
discharge; and
(ii) an additional home visit if prescribed by the attending provider.
(2) For a mother and newborn child who remain in the hospital for at
least the length of time provided under subsection (c) of this section, an entity subject
to this section shall provide coverage for a home visit if prescribed by the attending
provider.
(3) A home visit under paragraph (1) or (2) of this subsection shall:
(i) be provided in accordance with generally accepted standards of
nursing practice for home care of a mother and newborn child;
(ii) be provided by a registered nurse with at least 1 year of
experience in maternal and child health nursing or community health nursing with
an emphasis on maternal and child health; and
(iii) include any services required by the attending provider.
(f) An entity subject to this section may not deny, limit, or otherwise impair
the participation of an attending provider under contract with the entity in providing
health care services to enrollees or insureds for:
(1) advocating the interest of a mother and newborn child through the
entity's utilization review or appeals system;
(2) advocating more than 48 hours of inpatient hospital care after a
complicated vaginal delivery or more than 96 hours of inpatient hospital care after a
complicated cesarean section; or
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- 1594 -
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