WILLIAM DONALD SCHAEFER, Governor

(A)  ANY PERSON AGGRIEVED BY A FINAL DECISION OF THE
SECRETARY IN A CONTESTED CASE UNDER THIS SUBTITLE MAY TAKE A
DIRECT JUDICIAL APPEAL.

(B)  THE APPEAL SHALL BE MADE AS PROVIDED FOR THE JUDICIAL
REVIEW OF FINAL DECISIONS UNDER TITLE 10, SUBTITLE 2 OF THE STATE
GOVERNMENT ARTICLE.

19-1310.

THE DEPARTMENT MAY WAIVE THE REQUIREMENTS OF THIS SUBTITLE
FOR A PRIVATE REVIEW AGENT THAT OPERATES SOLELY UNDER CONTRACT
WITH THE FEDERAL GOVERNMENT FOR UTILIZATION REVIEW OF PATIENTS
ELIGIBLE FOR HOSPITAL SERVICES UNDER TITLE XVIII OF THE SOCIAL
SECURITY ACT.

19-1311.

THE DEPARTMENT PERIODICALLY SHALL PROVIDE A LIST OF PRIVATE
REVIEW AGENTS ISSUED A CERTIFICATION AND THE RENEWAL DATE FOR
THAT CERTIFICATION TO:

(1)  THE MARYLAND CHAMBER OF COMMERCE;

(2)  THE MEDICAL AND CHIRURGICAL FACULTY OF MARYLAND;

(3)  THE MARYLAND HOSPITAL ASSOCIATION;

(4)  ALL HOSPITAL UTILIZATION REVIEW PROGRAMS; AND

(5)  ANY OTHER BUSINESS OR LABOR ORGANIZATION
REQUESTING THE LIST.

19-1312.

THE DEPARTMENT MAY ESTABLISH REPORTING REQUIREMENTS:

(1)  TO EVALUATE THE EFFECTIVENESS OF PRIVATE REVIEW
AGENTS; AND

(2)  TO DETERMINE IF THE UTILIZATION REVIEW PROGRAMS
ARE IN COMPLIANCE WITH THE PROVISIONS OF THIS SUBTITLE AND THE
REGULATIONS ADOPTED UNDER THIS SUBTITLE.

19-1313.

A PRIVATE REVIEW AGENT MAY NOT DISCLOSE OR PUBLISH
INDIVIDUAL MEDICAL RECORDS OR ANY OTHER CONFIDENTIAL MEDICAL
INFORMATION OBTAINED IN THE PERFORMANCE OF UTILIZATION REVIEW
ACTIVITIES.

19-1314.

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