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PARRIS N. GLENDENING, Governor Ch. 500
(VI) PROVIDE OR ASSURE ALCOHOL AND DRUG ABUSE
TREATMENT FOR SUBSTANCE ABUSING PREGNANT WOMEN; AND
(VII) EDUCATE PROGRAM RECIPIENTS ON HEALTH CARE
PREVENTION AND GOOD HEALTH HABITS. ;
(VIII) ASSURE NECESSARY PROVIDER CAPACITY IN ALL
GEOGRAPHIC AREAS UNDER CONTRACT; AND
(IX) BE ACCOUNTABLE FOR STANDARDS ESTABLISHED BY THE
DEPARTMENT AND, UPON FAILURE TO MEET THOSE STANDARDS, BE SUBJECT TO A
PENALTY UP TO AND INCLUDING REVOCATION OF ITS MEDICAID MANAGED CARE
CONTRACT; AND
(X) SUBJECT TO APPLICABLE FEDERAL AND STATE LAW, INCLUDE
INCENTIVES FOR PROGRAM RECIPIENTS TO COMPLY WITH PROVISIONS OF THE
MANAGED CARE PLAN, AND DISINCENTIVES FOR FAILING TO COMPLY WITH PROVISIONS
OF THE MANAGED CARE PLAN.
(3) THE SECRETARY SHALL ENSURE PARTICIPATION IN THE
DEVELOPMENT OF THE MANAGED CARE PROGRAM BY THE INVOLVEMENT OF A
BROAD-BASED STEERING COMMITTEE INCLUDING CONSUMER LEGISLATIVE,
CONSUMER, AND PROVIDER REPRESENTATION.
(4) THE SECRETARY SHALL SUBMIT TO THE SENATE FINANCE
COMMITTEE AND HOUSE ENVIRONMENTAL MATTERS COMMITTEE OF THE
GENERAL ASSEMBLY FOR THEIR REVIEW ANY PROPOSALS DEVELOPED UNDER
PARAGRAPH (1) OF THIS SUBSECTION PRIOR TO REQUESTING APPROVAL BY THE U.S
DEPARTMENT OF HEALTH AND HUMAN SERVICES UNDER § 1115 OF THE SOCIAL
SECURITY ACT.
(5) (I) THE SECRETARY MAY EXCLUDE SPECIFIC POPULATIONS OR
SERVICES FROM ANY PROGRAM DEVELOPED UNDER PARAGRAPH (1) OF THIS
SUBSECTION.
(II) THE SECRETARY MAY ESTABLISH A MANAGED CARE PROGRAM
FOR ANY POPULATION OR SERVICE EXCLUDED UNDER SUBPARAGRAPH (I) OF THIS
PARAGRAPH.
(6) THE SECRETARY MAY REQUIRE MANAGED CARE PLANS TO
CONTRACT WITH SPECIFIC PROVIDERS UNDER CERTAIN CIRCUMSTANCES.
(6) FOR A MANAGED CARE PLAN WITH WHICH THE SECRETARY CONTRACTS
TO PROVIDE SERVICES TO PROGRAM RECIPIENTS UNDER THIS SUBSECTION, THE
SECRETARY MAY REQUIRE AS A CONDITION OF THAT CONTRACT THAT THE MANAGED
CARE PLAN INCLUDE, TO THE EXTENT ECONOMICALLY FEASIBLE, PARTICULAR
PROVIDERS IN PROVIDING THOSE SERVICES IN THE FOLLOWING CIRCUMSTANCES:
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