Ch. 577

1995 LAWS OF MARYLAND

(2) (I) THE SUBJECT TO THE PROVISIONS OF SUBPARAGRAPH (III) OF
THIS PARAGRAPH, THE REGULATIONS ADOPTED BY THE SECRETARY SHALL
INCLUDE A UNIFORM TREATMENT PLAN FORM FOR UTILIZATION REVIEW OF
SERVICES FOR THE TREATMENT OF A MENTAL ILLNESS, EMOTIONAL DISORDER, OR
A DRUG ABUSE OR ALCOHOL ABUSE DISORDER.

(II)    THE UNIFORM TREATMENT PLAN FORM ADOPTED BY THE
SECRETARY:

.1. SHALL ADEQUATELY PROTECT THE CONFIDENTIALITY
OF THE PATIENT; AND

2. MAY ONLY REQUEST THE .PATIENT'S MEMBERSHIP
NUMBER, POLICY NUMBER, OR OTHER SIMILAR UNIQUE PATIENT IDENTIFIER AND
FIRST NAME FOR PATIENT IDENTIFICATION.

(III)   THE SECRETARY MAY WAIVE THE REQUIREMENTS OF
REGULATIONS ADOPTED UNDER SUBPARAGRAPH (I) OF THIS PARAGRAPH FOR THE
USE OF A UNIFORM TREATMENT PLAN FORM FOR ANY ENTITY THAT WOULD BE
USING THE FORM SOLELY FOR INTERNAL PURPOSES.

19-1305.1.

(G) (1) A PRIVATE REVIEW AGENT THAT REQUIRES A HEALTH CARE
PROVIDER TO SUBMIT A TREATMENT PLAN IN ORDER FOR THE PRIVATE REVIEW
AGENT TO CONDUCT UTILIZATION REVIEW OF PROPOSED OR DELIVERED SERVICES
FOR THE TREATMENT OF A MENTAL ILLNESS, EMOTIONAL DISORDER, OR A DRUG
ABUSE OR ALCOHOL ABUSE DISORDER:

(I)      SHALL ACCEPT THE UNIFORM TREATMENT PLAN FORM
ADOPTED BY THE SECRETARY UNDER § 19-1303(E) OF THIS SUBTITLE AS A PROPERLY
SUBMITTED TREATMENT PLAN FORM; AND

(II)     MAY NOT IMPOSE ANY REQUIREMENT TO:

1.       MODIFY THE UNIFORM TREATMENT PLAN FORM OR ITS
CONTENT; OR

2.       SUBMIT ADDITIONAL TREATMENT PLAN FORMS.

(2) A UNIFORM TREATMENT PLAN FORM SUBMITTED UNDER THE
PROVISIONS OF THIS SUBSECTION:

(I)      SHALL BE PROPERLY COMPLETED BY THE HEALTH CARE
PROVIDER; AND

(II)     MAY BE SUBMITTED BY ELECTRONIC TRANSFER.

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