(3) NOTHING IN THIS SUBSECTION SHALL PROHIBIT A HEALTH CARE
PRACTITIONER AND A CARRIER FROM NEGOTIATING A REIMBURSEMENT RATE IN
THE CARRIER'S PROVIDER CONTRACT FOR ONCOLOGY DRUGS, SUPPLIES, AND
ADMINISTRATIVE SERVICES THAT IS LESS THAN THE AMOUNT REQUIRED UNDER
PARAGRAPH (1) OF THIS SUBSECTION.
(e) (D) (1) A carrier that compensates health care practitioners wholly or
partly on a capitated basis may not retain any capitated fee attributable to an
enrollee or covered person during an enrollee's or covered person's contract year.
(2) A carrier is in compliance with paragraph (1) of this subsection if,
within 45 days after an enrollee or covered person chooses or obtains health care from
a health care practitioner, the carrier pays to the health care practitioner all accrued
but unpaid capitated fees attributable to that enrollee or person that the health care
practitioner would have received had the enrollee or person chosen the health care
practitioner at the beginning of the enrollee's or covered person's contract year.
Article - Health - General
19-706.
(i) The provisions of §§ 15-105, 15-112, 15-113, 15-804, 15-812, 15-826, and
15-828 of the Insurance Article shall apply to health maintenance organizations.
SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect
October June 1, 1999.
Approved May 27, 1999.
CHAPTER 618
(House Bill 290)
AN ACT concerning
Estates and Trusts - Petition for Guardianship of Disabled Person -
Certificates of Competency
FOR the purpose of requiring a petitioner for guardianship of a disabled person to
submit with the petition a certain combination of certificates of competency;
requiring that at least one examination or evaluation by a health care
professional who signs and verifies a certificate of competency occur within a
certain period before filing the petition; providing for the application of this Act;
and generally relating to the certificates of competency submitted with a
petition for guardianship of a disabled person.
BY repealing and reenacting, with amendments,
Article - Estates and Trusts
Section 13-705(c)
Annotated Code of Maryland
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