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Session Laws, 2000
Volume 797, Page 1921   View pdf image
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PARRIS N. GLENDENING, Governor
Ch. 323
contractor file and receive approval of a certain plan; requiring a licensed health
services contractor to meet certain requirements of law regarding payment and
denial of claims; specifying the type of financial statement that a certain
contracting provider must provide to a certain health maintenance organization;
requiring a contracting provider to submit certain information to a health
maintenance organization; specifying the time frames within which certain
reports and financial statements must be filed with a certain health maintenance
organization; requiring a certain health maintenance organization to establish a
certain fund; authorizing the Commissioner to consider certain facts when
determining the sufficiency of a certain fund; requiring a certain fund to be held
in trust; requiring a certain contracting provider to submit monthly reports to a
certain health maintenance organization on the status of certain payments and
compliance with certain laws; specifying the frequency of certain audits reviews
and inspections; specifying that a health maintenance organization shall meet
certain requirements regardless of the existence of a certain fund or certain
contract provisions; clarifying that with certain exemptions, members and
subscribers are not liable to a licensed health services contractor for certain
services; requiring a licensed health services contractor to file certain reports
with the Commissioner and certain health maintenance organizations by
certain dates; authorizing the Commissioner to require certain quarterly
reports; specifying certain provisions of law relating to financial impairment,
liquidation, and rehabilitation of an insurer apply to a licensed health services
contractor; prohibiting certain entities from entering into an administrative
service contract unless a certain plan is filed and approved by the
Commissioner; specifying the contents of a certain plan to be filed and approved
by the Commissioner; requiring certain health maintenance organizations to file
certain information with the Commissioner; requiring certain entities to follow a
certain plan; requiring certain entities to monitor a contracting provider for
compliance with a certain plan and to notify a contracting provider of failure to
comply with the plan; specifying the responsibilities of certain entities upon a
contracting provider's failure to comply with a certain plan; specifying the
responsibility of a health maintenance organization upon the failure of a
licensed health services contractor to meet certain requirements; specifying that
certain plan and certain documentation are confidential providing for the
expiration and renewal of a license for a health services contractor; prohibiting
a licensed health services contractor from violating certain provisions of law or
committing certain acts; specifying that the failure of requiring a certain health
maintenance organization to comply with the terms of a certain contract is a
violation of certain provisions of law; providing that a certain segregated fund is
not the asset of a certain contracting provider for a certain purpose; establishing
a certain registration system for certain contracting providers; establishing a
certain fee; prohibiting a health maintenance organization from contracting with
a certain unregistered contracting provider; providing for certain application
requirements procedures; authorizing the Commissioner to adopt certain
regulations; establishing certain penalties; requiring the Commissioner to issue
a certain notice to the Secretary; altering certain definitions; defining certain
terms; requiring the Commissioner to submit a certain report to the Governor
and the General Assembly on or before a certain date providing for the
- 1921 -


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Session Laws, 2000
Volume 797, Page 1921   View pdf image
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