PARRIS N. GLENDENING, Governor

Ch. 118

be transferred to the Subcabinet Fund

when a child is returned from

out-of-state.

Further, it is the intent of the General

Assembly that the Medical Care Provider.

Reimbursements budget be expended in

accordance with the budget detail

presented to and approved by the General

Assembly. Should the department wish to

make a regulatory, policy, or procedural

change which has an increase or decrease

greater than $300,000 on the program's

budget, whether or not the increase or

decrease is offset in whole or in part by

other action, it shall inform the budget

committees of the change and the

committees shall have 45 days to review

and consider it before it becomes effective.

For the rates to be paid to Managed Care

Organizations (MCOs) commencing on

January 1, 2000 and ending on December

31, 2000, the Department of Health and

Mental Hygiene is directed to submit to

the budget committees a detailed plan of

the steps it will take to assure accurate

and actuarially sound rates. The plan

shall include, but not be limited to:

(1) how the department will oversee its

rate setting contractors;

(2) how the department will provide the

MCOs with adequate information on the

methodology and on the level of the rates;

(3) a time-line that allows MCOs adequate

time to evaluate the impact of any

proposed rates on their businesses; and

(4) how the department will monitor

MCOs financial and utilization data,

including the collection of encounter data.

The department shall report quarterly on

the progress made in implementing the

plan. The plan shall be submitted to the

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