|
WILLIAM DONALD SCHAEFER, Governor
(B) AN APPLICANT FOR CERTIFICATION SHALL SUBMIT AN
APPLICATION TO THE DEPARTMENT ON THE FORM THAT THE DEPARTMENT
REQUIRES.
(C) (1) AN APPLICANT FOR A LICENSE SHALL PAY TO THE
DEPARTMENT THE APPLICATION FEE SET BY THE DEPARTMENT.
(2) THE APPLICATION PEE FEES REQUIRED UNDER PARAGRAPH
(1) OF THIS SUBSECTION MAY NOT EXCEED THE AVERAGE COST OF
CERTIFYING AN APPLICANT UNDER THE CERTIFICATE PROGRAM OR §
19-1306(B)(3) OF THIS SUBTITLE SHALL BE SUFFICIENT TO PAY FOR THE
ADMINISTRATIVE COSTS OF THE CERTIFICATE PROGRAM AND ANY OTHER
DUTY OF THE SECRETARY REQUIRED UNDER THIS SUBTITLE.
(D) THE DEPARTMENT SHALL ISSUE A CERTIFICATE TO ANY
APPLICANT WHO MEETS THE REQUIREMENTS OF THIS SUBTITLE.
(E) BEFORE THE DEPARTMENT DISAPPROVES AN APPLICATION, THE
DEPARTMENT SHALL GIVE THE APPLICANT AN OPPORTUNITY FOR A PUBLIC
HEARING.
(F) THE SECRETARY MAY DELEGATE TO THE COMMISSIONER THE
AUTHORITY TO ISSUE OR 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 1 OF THIS TITLE THAT
MEETS THE REQUIREMENTS OF THIS SUBTITLE AND ALL APPLICABLE
REGULATIONS OF THE SECRETARY.
(F) THE SECRETARY MAY DELEGATE TO THE COMMISSIONER THE
AUTHORITY TO ISSUE A CERTIFICATION TO ANY HEALTH INSURER OR
NONPROFIT HEALTH SERVICE PLAN REGULATED UNDER ARTICLE 48A OF THE
CODE.
(G) (F) (G) A HOSPITAL UTILIZATION REVIEW CERTIFICATION
CERTIFICATE ISSUED UNDER THIS SUBTITLE IS NOT TRANSFERABLE.
19-1305.
(A) WHEN AN APPLICATION FOR CERTIFICATION IS FILED UNDER
THIS SUBTITLE, THE APPLICANT SHALL SUBMIT A UTILIZATION REVIEW
PLAN.
(B) THE UTILIZATION REVIEW PLAN SHALL INCLUDE:
(1) SPECIFIC A DESCRIPTION OF REVIEW STANDARDS AND
PROCEDURES TO BE USED IN EVALUATING PROPOSED OR DELIVERED
HOSPITAL CARE;
(2) THOSE CIRCUMSTANCES, IF ANY, UNDER WHICH
UTILIZATION REVIEW MAY BE DELEGATED TO A HOSPITAL UTILIZATION
REVIEW PROGRAM; AND
- 5255 -
|