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Session Laws, 1997
Volume 795, Page 953   View pdf image
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PARRIS N. GLENDENING, Governor

Ch. 35

EACH PAYOR SHALL COOPERATE FULLY IN SUBMITTING REPORTS AND CLAIMS
DATA AND PROVIDING ANY OTHER INFORMATION TO THE MARYLAND HEALTH
CARE ACCESS AND COST COMMISSION IN ACCORDANCE WITH TITLE 19, SUBTITLE 15
OF THE HEALTH - GENERAL ARTICLE.

(G) REPORT OF COMMISSIONER.

THE COMMISSIONER SHALL REPORT TO THE MARYLAND HEALTH CARE
ACCESS AND COST COMMISSION EN A TIMELY MANNER THE NAME AND ADDRESS OF
EACH PAYOR THAT IS ASSESSED A FEE UNDER THIS SECTION AND THE AMOUNT OF
THE ASSESSMENT.

(H) COMPLIANCE WITH PAYMENT SYSTEM.

EACH PAYOR SHALL PAY FOR HEALTH CARE SERVICES IN ACCORDANCE WITH
THE PAYMENT SYSTEM ADOPTED UNDER § 19-1509 OF THE HEALTH - GENERAL
ARTICLE.

REVISOR'S NOTE: This section is new language derived without substantive

change from former Art. 48A, § 490R.

In subsection (a)(3)(ii) of this section, the reference to a health maintenance
organization that is "authorized by the Commissioner" to operate in the State
is substituted for the former reference to a health maintenance organization
that is "licensed" to operate in the State for accuracy and conformity with
other provisions in this title. See, e.g., § 15-605(a)(1)(iii) of this title.

In subsection (c)(3)(ii) of this section, the reference to "all" payors is added
for clarity.

In subsection (g) of this section, the reference to each payor that is assessed "a
fee under this section" is added for clarity.

Defined terms: "Certificate of authority" § 1-101
"Commissioner" § 1-101
"Health insurance" § 1-101
"Person" § 1-101
"Policy" § 1-101
"Premium" § 1-101

15-112. PROVIDER PANELS.
(A) DEFINITIONS.

(1) IN THIS SECTION THE FOLLOWING WORDS HAVE THE MEANINGS

INDICATED.

(2) (I)

"CARRIER" MEANS:

1.

AN INSURER;

2.

A NONPROFIT HEALTH SERVICE PLAN;

3.

A HEALTH MAINTENANCE ORGANIZATION;

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Session Laws, 1997
Volume 795, Page 953   View pdf image
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