Volume 796, Page 3806 View pdf image |
(1) Violate any provision of this subtitle or any rule or regulation (2) Fail to fulfill its obligations to provide the health care services (3) Make any false statement with respect to any report or statement (4) Advertise, merchandise, or attempt to merchandise its services in a (5) Engage in a deceptive, misleading, unfair, or unauthorized practice (6) Prevent or attempt to prevent the Commissioner or the Department (7) Fraudulently obtain or fraudulently attempt to obtain any benefit (8) Fail to fulfill the basic requirements to operate as a health (9) Violate any applicable provision of Title 15, Subtitle 12 of the (10) Fail to provide services to a member in a timely manner as provided (11) Fail to comply with the provisions of Title 15, Subtitle 10A, 10B, or (12) Violate any provision of § 19-712.5 of this subtitle. (b) If any health maintenance organization violates this section, the 19-730. (A) If any person violates any provision of § 19-729 of this subtitle, the (1) Issue an administrative order that requires the health maintenance (i) Cease inappropriate conduct or practices by it or any of the (ii) Fulfill its contractual obligations; (iii) Provide a service that has been denied improperly;
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Volume 796, Page 3806 View pdf image |
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