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Session Laws, 1999
Volume 796, Page 3804   View pdf image
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(IV) HAVE BROAD KNOWLEDGE OF HEALTH MAINTENANCE
ORGANIZATIONS AND MANAGED CARE ORGANIZATIONS.

(3) (I) THE QUALITY ASSURANCE MEDICAL DIRECTOR SHALL SERVE
FOR A TERM OF 1 YEARS THAT COINCIDES WITH THE TERM OF THE COMMISSIONER.

(II) THE SECRETARY MAY REMOVE THE QUALITY ASSURANCE
MEDICAL DIRECTOR FROM OFFICE FOR CAUSE.

(4) (3) THE QUALITY ASSURANCE MEDICAL DIRECTOR IS ENTITLED TO
THE COMPENSATION PROVIDED FN THE STATE BUDGET.

(5) (4) SUBJECT TO THE AUTHORITY VESTED IN THE SECRETARY BY
LAW, THE QUALITY ASSURANCE MEDICAL DIRECTOR IS IN CHARGE OF AND
RESPONSIBLE FOR THE CLINICAL OPERATIONS OF THE HMO QUALITY ASSURANCE
UNIT.

(6) (5) IN ACCORDANCE WITH THE STATE BUDGET AND SUBJECT TO
THE AUTHORITY VESTED IN THE SECRETARY BY LAW, THE
QUALITY ASSURANCE
MEDICAL DIRECTOR
THE SECRETARY MAY EMPLOY STAFF FOR THE HMO QUALITY
ASSURANCE UNIT. 

(D) THE HMO QUALITY ASSURANCE UNIT SHALL:

(1) ENFORCE ALL REQUIREMENTS ESTABLISHED UNDER §§ 19-705 AND
19-705.1 OF THIS SUBTITLE AND THE REGULATIONS ADOPTED UNDER THESE
PROVISIONS REGARDING THE QUALITY OF HEALTH CARE PROVIDED BY A HEALTH
MAINTENANCE ORGANIZATION; AND

(2) INVESTIGATE QUALITY OF CARE COMPLAINTS REFERRED TO THE
SECRETARY UNDER § 19-705.2(B)(3) OF THIS SUBTITLE.

(E) THE QUALITY ASSURANCE MEDICAL DIRECTOR SHALL:

(1) DETERMINE WHETHER A HEALTH MAINTENANCE ORGANIZATION
MEETS THE REQUIREMENTS ESTABLISHED UNDER §§ 19-705 AND 19-705.1 OF THIS
SUBTITLE AND THE REGULATIONS ADOPTED UNDER THESE PROVISIONS REGARDING
THE QUALITY OF HEALTH CARE PROVIDED BY A HEALTH MAINTENANCE
ORGANIZATION; AND

(2) MAKE RECOMMENDATIONS FOR CORRECTIVE CHANGES OR NEW
ARRANGEMENTS TO MEET THESE REQUIREMENTS.

(2) MAKE RECOMMENDATIONS TO THE SECRETARY FOR CORRECTIVE
ACTION NECESSARY TO MEET THESE REQUIREMENTS.

(F) IF THE SECRETARY AGREES WITH A DETERMINATION MADE BY THE
QUALITY ASSURANCE MEDICAL DIRECTOR THAT A HEALTH MAINTENANCE
ORGANIZATION DOES NOT MEET THE REQUIREMENTS ESTABLISHED UNDER §§
19-705 AND 19-705.1 OF THIS SUBTITLE OR THE REGULATIONS ADOPTED UNDER
THESE PROVISIONS REGARDING THE QUALITY OF HEALTH CARE PROVIDED BY A
HEALTH MAINTENANCE ORGANIZATION, THE SECRETARY MAY:

 

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Session Laws, 1999
Volume 796, Page 3804   View pdf image
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