PARRIS N. GLENDENING, Governor                             Ch. 577

(2) (B) A HEALTH MAINTENANCE ORGANIZATION MAY NOT IMPOSE
AS A CONDITION OF COVERAGE ANY REQUIREMENT TO:

(I) (1) MODIFY THE UNIFORM CONSULTATION REFERRAL
FORM; OR

(II) (2) SUBMIT ADDITIONAL CONSULTATION REFERRAL FORMS.

(3) (C) THE UNIFORM CONSULTATION REFERRAL FORM SHALL BE
PROPERLY COMPLETED BY THE HEALTH CARE PROVIDER REFERRING THE
SUBSCRIBER FOR CONSULTATION SERVICES.

19-713.5.

(A) A HEALTH MAINTENANCE ORGANIZATION SHALL USE A UNIFORM
PROVIDER VOUCHER FORM ADOPTED BY THE COMMISSION UNDER ARTICLE 48A, §
490BB OF THE CODE AS THE SOLE INSTRUMENT FOR PROVIDING THE EXPLANATION
OF PAYMENT FOR MEDICAL BENEFITS TO A PROVIDER.

(B) A HEALTH MAINTENANCE ORGANIZATION MAY NOT;

(1) MODIFY THE UNIFORM PROVIDER VOUCHER FORM; OR

(2) PROVIDE ADDITIONAL FORMS TO A PROVIDER FOR THE
EXPLANATION OF MEDICAL BENEFITS.

19-1303.

(a)     A private review agent may not conduct utilization review in this State unless
the Secretary has granted the private review agent a certificate.

(b)     The Secretary shall issue a certificate to an applicant that has met all the
requirements of this subtitle and all applicable regulations of the Secretary.

(c)     The Secretary may delegate the authority to issue a certificate to the
Commissioner for 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.

(d)     A certificate issued under this subtitle is not transferable.

(e)     (1) The Secretary, after consultation with the Commissioner, payors,
including the Health Insurance Association of America and the Maryland Association of
Health Maintenance Organizations, and providers of health care, including the Maryland
Hospital Association, THE MEDICAL AND CHIRURGICAL FACULTY OF MARYLAND,
AND LICENSED OR CERTIFIED PROVIDERS OF TREATMENT FOR A MENTAL ILLNESS,
EMOTIONAL DISORDER, OR A DRUG ABUSE OR ALCOHOL ABUSE DISORDER, shall
adopt regulations to implement the provisions of this subtitle.

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