PARRIS N. GLENDENING, Governor Ch. 164

(D) THE PROVISIONS OF SUBSECTION (B)(1) OF THIS SECTION DO NOT APPLY
IF A CARRIER RETROACTIVELY DENIES REIMBURSEMENT TO A HEALTH CARE
PROVIDER BECAUSE THE INFORMATION SUBMITTED TO THE CARRIER WAS
FRAUDULENT OR IMPROPERLY CODED.

(E) IF A CARRIER RETROACTIVELY DENIES REIMBURSEMENT FOR SERVICES
AS A RESULT OF COORDINATION OF BENEFITS UNDER PROVISIONS OF SUBSECTION
(B)(l)(I) OF THIS SECTION, THE HEALTH CARE PROVIDER SHALL HAVE 6 MONTHS
FROM THE DATE OF DENIAL. UNLESS A CARRIER PERMITS A LONGER TIME PERIOD,
TO SUBMIT A CLAIM FOR REIMBURSEMENT FOR THE SERVICE TO THE CARRIER,
MARYLAND MEDICAL ASSISTANCE PROGRAM, OR MEDICARE PROGRAM
RESPONSIBLE FOR PAYMENT.

Article - Health - General

19-706.

(N) THE PROVISIONS OF § 15-1008 OF THE INSURANCE ARTICLE SHALL APPLY
TO HEALTH MAINTENANCE ORGANIZATIONS.
SECTION 2. AND BE IT FURTHER ENACTED, That the Maryland Association
of Health Maintenance Organizations, Blue Cross and Blue Shield of Maryland for its
successor entity), and the League of Life and Health Insurers shall undertake a study of
coordination of benefits, particularly the feasibility of coordinating retroactive denials of
reimbursement, so that responsibility for payment of claims subject to coordination of
benefits does not affect an individual provider's ability to receive proper payment for
services rendered. The study and recommendations from the study shall be reported to
the Senate Finance Committee and House Economic Matters Committee on or before
November 1, 1997.

SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect
October 1, 1997.

Approved April 29, 1997.

CHAPTER 164
(Senate Bill 344)

AN ACT concerning

Creation of a State Debt - Baltimore City - Community Human Development Centers

FOR the purpose of authorizing the creation of a State Debt not to exceed $500,000
$450,000, the proceeds to be used as a grant to the Board of Directors of the Fair
Chance, Inc. for certain acquisition, development, or improvement purposes;
providing for disbursement of the loan proceeds, subject to a requirement that the
grantee provide and expend a matching fund; prohibiting the grantee from using the
funds for sectarian religious purposes; and providing generally for the issuance and
sale of bonds evidencing the loan.

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