Ch. 363 1997 LAWS OF MARYLAND

Section 19-705.1(b)(2)

Annotated Code of Maryland

(1996 Replacement Volume and 1996 Supplement)

BY adding to

Article - Health - General

Section and 19-705.7

Annotated Code of Maryland

(1996 Replacement Volume and 1996 Supplement)

SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:

Article - Health - General

15-103.

(b) (9) Each managed care organization shall:

(i) Have a quality assurance program in effect which is subject to the
approved of the Department and which, at a minimum:

1. Complies with any health care quality improvement system
developed by the Health Care Financing Administration;

2. Complies with the quality requirements of applicable State
licensure laws and regulations;

3. Complies with practice guidelines and protocols specified by

the Departments;

4. Provides for an enrollee grievance system, including an

enrollee hotline;

5. Provides a provider grievance system;

6. Provides for enrollee and provider satisfaction surveys, to be
taken at least annually;

7. Provides for a consumer advisory board to receive regular

input from enrollees;

8. Provides for an annual consumer advisory board report to be
submitted to the Secretary; and

9. Complies with specific quality, access, data, and performance
measurements adopted by the Department for treating enrollees with special needs;

Submit to the Department:

1. Service specific data by service type in a format to be
established by the Department; and

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