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PARRIS N. GLENDENING, Governor Ch. 565
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(5) THE MANAGED CARE PROVIDER PROVIDES PROOF OF ENROLLMENT
OF A BENEFICIARY ACCORDING TO REGULATIONS ADOPTED BY THE SECRETARY TO
IMPLEMENT THIS SECTION;
(6) ALL PERFORMANCE REVIEW AND FINANCIAL RECORDS ARE
AVAILABLE FOR REVIEW BY THE SECRETARY; AND
(7) THE MANAGED CARE PROVIDER MEETS ALL THE REQUIREMENTS OF
THE MARYLAND INSURANCE COMMISSION.
15-603.
IN ORDER TO QUALIFY FOR THIS SUBSIDY A MANAGED CARE PROVIDER SHALL, AS
A MINIMUM, PROVIDE THE FOLLOWING BENEFITS.
(1) ALL OF THE BENEFITS OF MEDICARE PART "A" PLUS MEDICARE PART
"B" REQUIRED BY TITLE XVIII OF THE SOCIAL SECURITY ACT, AS AMENDED;
(2) A PRESCRIPTION BENEFIT OF $1,000 PER YEAR PER ENROLLEE;
(3) UNLIMITED HOSPITAL STAYS;
(4) UNLIMITED VISITS WITH A BENEFICIARY'S PRIMARY CARE
PHYSICIAN OR PRIMARY HEALTH CARE PROVIDER;
(5) VISITS TO SPECIALISTS WITH A REFERRAL FROM THE
BENEFICIARY'S PRIMARY CARE PHYSICIAN OR PRIMARY HEALTH CARE PROVIDER;
(6) PODIATRY TREATMENT;
(7) ONE ANNUAL PHYSICAL PER YEAR;
(8) OUTPATIENT HOSPITAL VISITS;
(9) OUTPATIENT HOSPITAL REHABILITATION;
(10) UP TO 100 DAYS OF INPATIENT MENTAL HEALTH TREATMENT PER
YEAR;
(11) UP TO 100 DAYS OF SKILLED NURSING CARE PER YEAR;
(12) EMERGENCY AMBULANCE SERVICE;
(13) ONE ROUTINE EYE EXAM PER YEAR AND ONE PAIR OF EYEGLASSES
PER YEAR;
(14) ALCOHOL AND DRUG ABUSE EDUCATION CLASSES AND OUTPATIENT
TREATMENT;
(15) ANNUAL MAMMOGRAMS, PAP SMEARS, AND COLORECTAL
SCREENING EXAMS FOR CANCER;
(16) HEPATITIS B AND FLU VACCINES;
HEARING EXAMS;
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