PARRIS N. GLENDENING, Governor Ch. 14

4. Include linkages with other public service systems; and

5. Comply with quality assurance, enrollee input, data
collection, and other requirements specified by the Department in regulation.

(v) The Department may contract with a managed care organization
for delivery of specialty mental health services if the managed care organization meets the
performance standards adopted by the Department in regulations.

(22) The Department shall include a definition of medical necessity in its
quality and access standards.

(23) (i) The Department shall adopt regulations relating to enrollment,
disenrollment, and enrollee appeals.

(ii) An enrollee may disenroll from a managed care organization:

1. Without cause in the month following the anniversary date of
the enrollee's enrollment; and

2. For cause, at any time as determined by the Secretary.

(24) The Department or its subcontractor, to the extent feasible in its
marketing or enrollment programs, shall hire individuals receiving assistance under the
program of Aid to Families with Dependent Children established under Title IV, Part A,
of the Social Security Act, or the successor to the program.

(25) The Department shall disenroll an enrollee who is a child in
State-supervised care if the child is transferred to an area outside of the territory of the
managed care organization.

(26) The Secretary shall adopt regulations to implement the provisions of this

section.

(27) (i) The Department shall establish the Maryland Medicaid Advisory
Committee, composed of no more than 25 members, the majority of whom are enrollees
or enrollee advocates.

(ii) The Committee members shall include:

1. Current or former enrollees or the parents or guardians of
current or former enrollees;

2. Providers who are familiar with the medical needs of
low-income population groups, including board-certified physicians;

3. Hospital representatives;

4. Advocates for the Medicaid population, including
representatives of special needs populations;

5. Two members of the Finance Committee of the Senate of
Maryland, appointed by the President of the Senate; and

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