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Session Laws, 1999
Volume 796, Page 3556   View pdf image
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MEMBER OR SUBSCRIBER IS REQUIRED TO PAY FOR SERVICES RENDERED BY A
PHY
SICIAN WHO IS A MEMBER OF THE PROVIDER PANEL OF THE HEALTH
MAINTENANCE ORGANIZATION.

19-712.5.

(F) IF A HEALTH MAINTENANCE ORGANIZATION AUTHORIZES, DIRECTS.
REFERS, OR OTHERWISE ALLOWS A MEMBER OR SUBSCRIBER TO ACCESS A HOSPITAL
EMERGENCY FACILITY OR OTHER URGENT CARE FACILITY FOR A MEDICAL
CONDITION THAT REQUIRES EMERGENCY SURGERY, THE HEALTH MAINTENANCE
ORGANIZATION:

(1) SHALL REIMBURSE THE PHYSICIAN, ORAL SURGEON, PERIODONTIST.
OR PODIATRIST, WHO PERFORMED THE SURGICAL PROCEDURE, FOR FOLLOW-UP
CARE THAT IS:

(I) MEDICALLY NECESSARY:

(II) DIRECTLY RELATED TO THE CONDITION FOR WHICH THE
SURGICAL PROCEDURE WAS PERFORMED: AND

(III) PROVIDED IN CONSULTATION WITH THE MEMBER'S OR
SUBSCRIBER'S PRIMARY CARE PHYSICIAN: AND

(2) MAY NOT IMPOSE ON THE MEMBER OR SUBSCRIBER ANY
CO-PAYMENT OR OTHER COST-SHARING REQUIREMENT FOR ANY FOLLOW-UP CARE
THAT EXCEEDS WHAT A MEMBER OR SUBSCRIBER IS REQUIRED TO PAY FOR
SERVICES RENDERED BY A PHYSICIAN, ORAL SURGEON, PERIODONTIST, OR
PODIATRIST WHO IS A MEMBER OF THE PROVIDER PANEL OF THE HEALTH
MAINTENANCE ORGANIZATION.

SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect
October 1, 1999.

Approved May 27, 1999.

CHAPTER 645
(House Bill 595)

AN ACT concerning

Maryland Vehicle Law - Equipment Standards

FOR the purpose of modifying certain provisions under the Maryland Vehicle Law
pertaining to equipment standards; eliminating and modifying certain obsolete
or inaccurate references pertaining to the adoption or approval of certain
equipment or standards; authorizing the Motor Vehicle Administrator to adopt
federal motor vehicle safety standards; authorizing, rather than requiring, the
Administrator to take certain actions in reference to certain equipment, and
otherwise modifying the Administrator's authority in reference to certain

 

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Session Laws, 1999
Volume 796, Page 3556   View pdf image
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