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Ch. 323
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2000 LAWS OF MARYLAND
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15-10D-02.
(A) A HEALTH MAINTENANCE ORGANIZATION MAY NOT ENTER INTO A
DOWNSTREAM RISK ASSUMPTION CONTRACT WITH A PERSON UNLESS THE PERSON
IS A LICENSED HEALTH SERVICES CONTRACTOR IN ACCORDANCE WITH THIS
SUBTITLE.
(B) (1) EXCEPT AS PROVIDED IN PARAGRAPH (2) OF THIS SUBSECTION, A
LICENSED HEALTH SERVICES CONTRACTOR MAY NOT ENTER INTO A DOWNSTREAM
RISK ASSUMPTION CONTRACT WITH ANOTHER LICENSED HEALTH SERVICES
CONTRACTOR
(2) A HEALTH MAINTENANCE ORGANIZATION THAT IS ALSO A LICENSED
HEALTH SERVICES CONTRACTOR MAY ENTER INTO A DOWNSTREAM RISK
ASSUMPTION CONTRACT WITH A LICENSED HEALTH SERVICES CONTRACTOR FOR
HEALTH CARE SERVICES TO BE PROVIDED TO MEMBERS OF THE HEALTH
MAINTENANCE ORGANIZATION.
15-10D-03.
(A) AN APPLICANT FOR LICENSURE AS A HEALTH SERVICES CONTRACTOR
SHALL:
(1) SUBMIT AN APPLICATION TO THE COMMISSIONER ON THE FORM
THAT THE COMMISSIONER REQUIRES; AND
(2) PAY TO THE COMMISSIONER THE APPLICATION FEE ESTABLISHED
BY THE COMMISSIONER THROUGH REGULATION.
(B) THE APPLICATION SHALL:
(1) BE ON A FORM AND ACCOMPANIED BY ANY SUPPORTING
DOCUMENTS THE COMMISSIONER REQUIRES; AND
(2) BE SIGNED AND VERIFIED BY THE APPLICANT.
(C) THE APPLICATION FEE REQUIRED UNDER SUBSECTION (A) OF THIS
SECTION SHALL BE SUFFICIENT TO PAY FOR THE ADMINISTRATIVE COSTS OF THE
LICENSURE PROGRAM AND ANY OTHER COSTS ASSOCIATED WITH CARRYING OUT
THE PROVISIONS OF THIS SUBTITLE.
15-10D-04.
(A) IN CONJUNCTION WITH THE APPLICATION, AN APPLICANT FOR
LICENSURE AS A HEALTH SERVICES CONTRACTOR SHALL SUBMIT ADDITIONAL
INFORMATION TO THE COMMISSIONER, INCLUDING:
(1) A STATEMENT OF THE FINANCIAL CONDITION OF THE HEALTH
SERVICES CONTRACTOR, INCLUDING:
(I) SOURCES OF FINANCIAL SUPPORT;
(II) A BALANCE SHEET SHOWING ASSETS, LIABILITIES, AND
MINIMUM TANGIBLE NET WORTH; AND
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- 1936 -
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