PARRIS N. GLENDENING, Governor

Ch. 35

respectively, which require "written" notice.

Subsection (d)(3)(iii) of this section is revised to clarity that the 150-day time
limit established by this subsection applies both to accepting or rejecting a
provider for participation on a carrier's provider panel and to sending notice
of the acceptance or rejection. This revision reflects legislative intent.

In subsections (e)(3) and (g)(1) of this section, the references to the internal
review system "established under subsection (h) of this section" are added for
clarity.

In subsection (i)(2) of this section, the reference to reimbursing a primary
care provider "that furnishes health care services" under this subsection is
added for clarity.

In the introductory language of subsection of this section, the reference
to "prospective enrollees" is substituted for the former reference to "new
member[s]" for clarity and accuracy.

In the introductory language of subsection (j)(3) of this section, the reference
to a policy, certificate, or "other" evidence of coverage is added for clarity.

Defined terms: "Administration" § 1-101
"Commissioner" § 1-101
"Insurer" § 1-101
"Person" § 1-101
"Policy" § 1-101

15-113. COMPENSATION OF HEALTH CARE PRACTITIONERS.

(A) DEFINITIONS.

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

(2) "CARRIER" MEANS:

(I) AN INSURER;

(II) A NONPROFIT HEALTH SERVICE PLAN;

(III) A HEALTH MAINTENANCE ORGANIZATION;

(IV) A DENTAL PLAN ORGANIZATION; OR

(V) ANY OTHER PERSON THAT PROVIDES HEALTH BENEFIT PLANS
SUBJECT TO REGULATION BY THE STATE.

(3) "HEALTH CARE PRACTITIONER" MEANS AN INDIVIDUAL WHO IS
LICENSED, CERTIFIED, OR OTHERWISE AUTHORIZED UNDER THE HEALTH
OCCUPATIONS ARTICLE TO PROVIDE HEALTH CARE SERVICES.

(B) REIMBURSEMENT AMOUNTS.

A CARRIER MAY NOT REIMBURSE A HEALTH CARE PRACTITIONER IN AN

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