PARRIS N. GLENDENING, Governor                             Ch. 352

(I) THE RESOLUTION OF ALL DISPUTES;

(II) A MANAGED CARE ORGANIZATION'S FAILURE TO MEET THE
DEPARTMENTS REQUIREMENTS; AND

(III) ANY OTHER INFORMATION SPECIFIED BY THE DEPARTMENT;

(3) EDUCATING ENROLLEES ABOUT:

(I) THE SERVICES PROVIDED BY THE ENROLLEE'S MANAGED
CARE ORGANIZATION; AND

(II) THE ENROLLEE'S RIGHTS AND RESPONSIBILITIES IN
RECEIVING SERVICES FROM THE MANAGED CARE ORGANIZATION; AND

(4) ADVOCATING ON BEHALF OF THE ENROLLEE BEFORE THE
MANAGED CARE ORGANIZATION, INCLUDING ASSISTING THE ENROLLEE IN USING
THE MANAGED CARE ORGANIZATION'S GRIEVANCE PROCESS.

(G) "PRIMARY MENTAL HEALTH SERVICES" MEANS THE CLINICAL EVALUATION
AND ASSESSMENT OF SERVICES NEEDED BY AN INDIVIDUAL AND THE PROVISION OF
SERVICES OR REFERRAL FOR ADDITIONAL SERVICES AS DEEMED MEDICALLY
APPROPRIATE BY A PRIMARY CARE PROVIDER

(d) (H) "Program" means the Maryland Medical Assistance Program.

(e) (I) "Program recipient" means an individual who receives benefits under
the Program.

(J) "SPECIALTY MENTAL HEALTH SERVICES" MEANS ANY MENTAL HEALTH
SERVICES OTHER THAN PRIMARY MENTAL HEALTH SERVICES.

15-102.

(a) 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.

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
SERVICES to indigent and medically indigent individuals.

(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 SERVICES 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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