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Session Laws, 1986
Volume 768, Page 3129   View pdf image
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HARRY HUGHES, Governor                                       3129

(2) Impose a penalty of not more than $1,000 for each
unlawful act committed;

(3)] Issue an administrative order that requires the
health maintenance organization to;

(i) Cease inappropriate conduct or practices by
it or any of the personnel employed or associated with it;

(ii) Fulfill its contractual obligations;

(iii) Provide a service that has been denied
improperly; [or]

(iv) Take appropriate steps to restore its
ability to provide a service that is provided under a contract;
[or]

(V) CEASE THE ENROLLMENT OF ANY ADDITIONAL
ENROLLEES EXCEPT NEWBORN CHILDREN OR OTHER NEWLY ACQUIRED
DEPENDENTS OR EXISTING ENROLLEES; OR

(VI) CEASE ANY ADVERTISING OR SOLICITATION;

(2) IMPOSE A PENALTY OF NOT MORE THAN $1,000 FOR EACH
UNLAWFUL ACT COMMITTED;

(3) SUSPEND OR REVOKE THE CERTIFICATE OF AUTHORITY TO
DO BUSINESS AS A HEALTH MAINTENANCE ORGANIZATION; OR

(4) Apply to any court for legal or equitable relief
considered appropriate by the Commissioner or the Department, in
accordance with the joint internal procedures.

SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall
take effect July 1, 1986.

Approved May 27, 1986.

CHAPTER 817

(House Bill 1741)

AN ACT concerning

Medical Assistance Program - Reimbursement

FOR the purpose of specifying that a time requirement for the
receipt of a certain invoice by the Department of Health and
Mental Hygiene is complied with if the Department initially
receives the invoice within a certain period of time under

 

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Session Laws, 1986
Volume 768, Page 3129   View pdf image
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