Ch. 500                                    1995 LAWS OF MARYLAND

Article - Health - General

15-101.

(a)     In this title the following words have the meanings indicated.

(b)     "Facility" means a hospital or nursing facility including an intermediate care
facility, skilled nursing facility, comprehensive care facility, or extended care facility.

(C) "MANAGED CARE PLAN" MEANS:

(1) A CERTIFIED HEALTH MAINTENANCE ORGANIZATION OR ;

(2) A MANAGED CARE SYSTEM THAT IS NOT A HEALTH MAINTENANCE
ORGANIZATION AND DOES NOT HOLD A CERTIFICATE OF AUTHORITY TO OPERATE
AS AN INSURER BUT IS AUTHORIZED TO RECEIVE PREPAID CAPITATION PAYMENTS
BY THE INSURANCE ADMINISTRATION OR THE DEPARTMENT SUBJECT TO THE
REGULATORY SOLVENCY REQUIREMENTS, APPROPRIATE FOR THE RISK TO BE
ASSUMED, ADOPTED BY THE INSURANCE COMMISSIONER IN CONSULTATION WITH
THE SECRETARY; OR                   

(3) A PROGRAM THAT PROVIDES SERVICES TO INDIVIDUALS UNDER
TITLE 7, SUBTITLE 3, TITLE 7, SUBTITLE 7, § 8-204, TITLE 8, SUBTITLE 4, TITLE 10,
SUBTITLE 9, OR TITLE 10, SUBTITLE 12 OF THIS ARTICLE.

[(c)] (D) "Program" means the Maryland Medical Assistance Program.

[(d)](E) "Program recipient" means an individual who receives benefits under
the Program.

15-102.

(a) [The] SUBJECT TO THE LIMITATIONS OF THE STATE BUDGET AND THE
AVAILABILITY OF FEDERAL FUNDS, THE Department shall provide preventive and
home care services for [indigent and medically indigent individuals] INDIVIDUALS WHO
ARE CATEGORICALLY ELIGIBLE FOR MEDICAL ASSISTANCE BENEFITS OR WHO ARE
UNABLE TO AFFORD THE COST OF HEALTH INSURANCE OR LONG TERM CARE.

15-102.1.

(a)     The General Assembly finds that it is a goal of this State to promote the
development of a health care system that provides adequate and appropriate health care
to [indigent and medically indigent individuals] INDIVIDUALS WHO ARE
CATEGORICALLY ELIGIBLE FOR MEDICAL ASSISTANCE BENEFITS OR WHO ARE
UNABLE TO AFFORD THE COST OF HEALTH INSURANCE OR LONG TERM CARE.

(b)     The Department shall, to the extent permitted, subject to the limitations of
the State Budget and the availability of federal funds:

(1)     Provide a comprehensive system of quality health care with an emphasis
on prevention, education, individualized care, and appropriate case management;

(2)     Develop a prenatal care program for Program recipients and encourage
its utilization;

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