WILLIAM DONALD SCHAEFER, Governor Ch. 703

(B)  BEFORE THE CERTIFICATE EXPIRES, A CERTIFICATE MAY BE
RENEWED FOR AN ADDITIONAL 2-YEAR TERM IF THE APPLICANT:

(1)  OTHERWISE IS ENTITLED TO THE CERTIFICATE;

(2)  PAYS TO THE SECRETARY THE RENEWAL FEE SET BY THE
SECRETARY THROUGH REGULATION; AND

(3)  SUBMITS TO THE SECRETARY:

(I)  A RENEWAL APPLICATION ON THE FORM THAT THE
SECRETARY REQUIRES; AND

(II)  SATISFACTORY EVIDENCE OF COMPLIANCE WITH
ANY REQUIREMENT UNDER THIS SUBTITLE FOR CERTIFICATE RENEWAL.

(C)  IF THE REQUIREMENTS OF THIS SECTION ARE MET, THE
SECRETARY SHALL RENEW A CERTIFICATE.

(D)  THE SECRETARY MAY DELEGATE TO THE COMMISSIONER THE
AUTHORITY TO RENEW A CERTIFICATE TO ANY HEALTH INSURER OR
NONPROFIT HEALTH SERVICE PLAN REGULATED UNDER ARTICLE 48A OF THE
CODE OR HEALTH MAINTENANCE ORGANIZATION ISSUED A CERTIFICATE OF
AUTHORITY IN ACCORDANCE WITH SUBTITLE 7 OF THIS TITLE THAT MEETS
THE REQUIREMENTS OF THIS SUBTITLE AND ALL APPLICABLE REGULATIONS
OF THE SECRETARY.

19-1307.

(A) (1) THE SECRETARY SHALL DENY A CERTIFICATE TO ANY
APPLICANT IF, UPON REVIEW OF THE APPLICATION, THE SECRETARY FINDS
THAT THE APPLICANT PROPOSING TO CONDUCT UTILIZATION REVIEW DOES
NOT:

(I)  HAVE AVAILABLE THE SERVICES OF SUFFICIENT
NUMBERS OF REGISTERED NURSES, MEDICAL RECORDS TECHNICIANS OR
SIMILARLY QUALIFIED PERSONS SUPPORTED AND SUPERVISED BY
APPROPRIATE PHYSICIANS TO CARRY OUT ITS UTILIZATION REVIEW
ACTIVITIES; AND

(II)  HAVE AVAILABLE THE SERVICES OF SUFFICIENT
NUMBERS OF DOCTORS OF MEDICINE OR OSTEOPATHY WHO ARE PRACTICING
PHYSICIANS AND WHO ARE KNOWLEDGEABLE OF THE STANDARDS OF CARE IN
THIS STATE SO AS TO ASSURE THE ADEQUATE REVIEW OF MEDICAL AND
SURGICAL SPECIALTY AND SUBSPECIALTY CASES;

(III) UTILIZE ONLY A PHYSICIAN TRAINED IN THE
RELEVANT SPECIALTY OR SUBSPECIALTY TO MAKE A FINAL DETERMINATION
THAT CARE RENDERED OR TO BE RENDERED WAS, IS, OR MAY BE MEDICALLY
INAPPROPRIATE; OR

(IV) MEET ANY APPLICABLE REGULATIONS THE
SECRETARY ADOPTS UNDER THIS SUBTITLE RELATING TO THE

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