clear space clear space clear space white space
A
 r c h i v e s   o f   M a r y l a n d   O n l i n e
  Maryland State Archives | Index | Help | Search search for:
clear space
white space
Session Laws, 1995
Volume 793, Page 3441   View pdf image
 Jump to  
  << PREVIOUS  NEXT >>
clear space clear space clear space white space

PARRIS N. GLENDENING, Governor

Ch. 604

(II) THE CARRIER SHALL INDICATE TO THE PROVIDER WHAT
INFORMATION IS NEEDED IN ORDER TO MAKE THE APPLICATION COMPLETE.

(III) THE PROVIDER SHALL RETURN THE COMPLETED
APPLICATION TO THE CARRIER BY REGISTERED OR CERTIFIED MAIL WITH RETU
RN
RECEIPT REQUESTED.

(IV) AFTER THE CARRIER RECEIVES THE COMPLETED
APPLICATION, THE CARRIER IS SUBJECT TO THE PROVISIONS OF PARAGRAPH (3)(II)
AND (III) OF THIS SUBSECTION.

(5) A CARRIER MAY CHARGE A REASONABLE FEE FOR ANY
APPLICATION THAT A PROVIDER SUBMITS TO THE CARRIER UNDER THIS SECTION.

(D) (1) A PROVIDER SEEKING PARTICIPATION IN THE PROVIDER PANEL OF A
CARRIER SHALL SUBMIT AN APPLICATION TO THE CARRIER.

(2) (I) AFTER REVIEW BY A CARRIER OF AN APPLICATION SUBMITTED
UNDER PARAGRAPH (I) OF THIS SUBSECTION SUBJECT TO THE PROVISIONS OF
PARAGRAPH (3) OF THIS SUBSECTION THE CARRIER SHALL ACCEPT OR REJECT THE
PROVIDER FOR PARTICIPATION IN THE CARRIER'S PROVIDER PANEL.

(II) IF THE CARRIER REJECTS THE PROVIDER FOR PARTICIPATION IN
THE CARRIER'S PROVIDER PANEL, THE CARRIER SHALL SEND WRITTEN NOTIFICATION
OF THE REJECTION TO THE PROVIDER TO THE ADDRESS LISTED ON THE APPLICATION.

(3) (I) EXCEPT AS PROVIDED IN PARAGRAPH (4) OF THIS SUBSECTION,
WITHIN 30 DAYS AFTER THE DATE OF RECEIPT BY THE CARRIER OF A COMPLETED
APPLICATION, A CARRIER SHALL GIVE WRITTEN NOTICE TO THE PROVIDER TO THE
ADDRESS LISTED ON THE APPLICATION OF:

1. THE CARRIER'S INTENT TO CONTINUE TO PROCESS THE
PROVIDER'S APPLICATION FOR PURPOSES OF OBTAINING NECESSARY CREDENTIALING
INFORMATION; OR

2. THE CARRIER'S REJECTION OF THE PROVIDER FOR
PARTICIPATION IN THE CARRIER'S PROVIDER PANEL.

(II)     FAILURE BY A CARRIER TO PROVIDE THE WRITTEN NOTIFICATION
REQUIRED UNDER SUBPARAGRAPH (I) OF THIS PARAGRAPH SHALL BE CONSIDERED A
VIOLATION OF THIS ARTICLE AND THE CARRIER IS SUBJECT TO THE PENALTIES
PROVIDED UNDER § 55A OF THIS ARTICLE.

(III)    IF A CARRIER PROVIDES WRITTEN NOTICE TO THE PROVIDER OF
ITS INTENT TO CONTINUE TO PROCESS THE PROVIDER'S APPLICATION FOR PURPOSES OF
OBTAINING THE NECESSARY CREDENTIALING INFORMATION UNDER SUBPARAGRAPH
(I)1 OF THIS PARAGRAPH, THE CARRIER SHALL:

1. WITHIN 150 DAYS AFTER THE DATE THE NOTICE IS
PROVIDED, ACCEPT OR REJECT THE PROVIDER FOR PARTICIPATION IN THE CARRIER'S
PROVIDER PANEL; AND

- 3441 -

 

clear space
clear space
white space

Please view image to verify text. To report an error, please contact us.
Session Laws, 1995
Volume 793, Page 3441   View pdf image
 Jump to  
  << PREVIOUS  NEXT >>


This web site is presented for reference purposes under the doctrine of fair use. When this material is used, in whole or in part, proper citation and credit must be attributed to the Maryland State Archives. PLEASE NOTE: The site may contain material from other sources which may be under copyright. Rights assessment, and full originating source citation, is the responsibility of the user.


Tell Us What You Think About the Maryland State Archives Website!



An Archives of Maryland electronic publication.
For information contact mdlegal@mdarchives.state.md.us.

©Copyright  August 17, 2024
Maryland State Archives