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Session Laws, 2000
Volume 797, Page 2996   View pdf image
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Ch. 565 2000 LAWS OF MARYLAND
Article - Health - General SUBTITLE 6. MARYLAND MEDICARE PLUS CHOICE INSURANCE SUBSIDY PROGRAM
SHORT-TERM PRESCRIPTION DRUG SUBSIDY PLAN. 15-601. (A) THERE IS A MARYLAND MEDICARE PLUS CHOICE INSURANCE SUBSIDY
PROGRAM IN THE DEPARTMENT TO BE PROVIDED FOR THOSE INDIVIDUALS WHO: (1) ARE CITIZENS OF MARYLAND AND AT LEAST 65 YEARS OF AGE; (2) ARE ELIGIBLE FOR MEDICARE PLUS CHOICE AS DEFINED BY TITLE
XVIII OF THE SOCIAL SECURITY ACT, AS AMENDED; (3) HAVE NO MEDICARE PLUS CHOICE IN THEIR COUNTY OR HAVE NO
MEDICARE PLUS CHOICE IN AN AREA DESIGNATED AS MEDICALLY UNDERSERVED BY
THE FEDERAL HEALTH CARE FINANCING ADMINISTRATION OF THE DEPARTMENT OF
HEALTH AND HUMAN SERVICES; (4) PAY THE PREMIUM FOR MEDICARE PART "B" AS DETERMINED BY
TITLE XVIII OF THE SOCIAL SECURITY ACT, AS AMENDED; AND (5) PAY THE PREMIUM AND DEDUCTIBLES FOR A MEDICARE PLUS
CHOICE MANAGED CARE PROGRAM.
15-602. THE FIRST MANAGED CARE PROVIDER TO ESTABLISH A MEDICARE PLUS
CHOICE MANAGED CARE INSURANCE PROGRAM IN A COUNTY OR MEDICALLY
UNDERSERVED AREA THAT HAS NO MEDICARE PLUS CHOICE MANAGED CARE
PROGRAM FOR CURRENT ELIGIBLE MEDICARE BENEFICIARIES OR NEW MEDICARE
BENEFICIARIES SHALL BE PAID A $30 SUBSIDY PER ENROLLEE PER MONTH
PROVIDED THAT: (1) THE MANAGED CARE PROVIDER SIGNS A CONTRACT WITH THE
SECRETARY GUARANTEEING THAT THEY WILL PROVIDE A MEDICARE PLUS CHOICE
MANAGED CARE INSURANCE PROGRAM IN A COUNTY OR MEDICALLY UNDERSERVED
AREA FOR A PERIOD OF AT LEAST 2 YEARS; (2) THE MANAGED CARE PROVIDER APPLIES FOR AND RECEIVES
APPROVAL FROM THE FEDERAL HEALTH CARE FINANCING ADMINISTRATION OF THE
DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR THE MEDICARE PLUS CHOICE
MANAGED CARE INSURANCE PROGRAM; (3) THE PREMIUMS REMAIN THE SAME OR LESS FOR THE 3 YEAR
CONTRACT PERIOD; (4) THE REQUIRED MINIMUM BENEFITS ARE INCLUDED IN THE
MEDICARE PLUS CHOICE MANAGED CARE BENEFIT PLAN;
- 2996 -


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Session Laws, 2000
Volume 797, Page 2996   View pdf image
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