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PARRIS N. GLENDENING, Governor
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S.B. 190
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Maryland, and the Maryland Association of Health [Maintenance Organizations]
PLANS, and providers of health care, including the [Maryland Hospital Association]
MHA: THE ASSOCIATION OF MARYLAND HOSPITALS AND HEALTH SYSTEMS,
CAREFIRST BLUECROSS BLUESHIELD, the Medical and Chirurgical Faculty of
Maryland, and licensed or certified providers of treatment for a mental illness,
emotional disorder, or a drug abuse or alcohol abuse disorder, shall adopt regulations
to implement the provisions of this subtitle,
(2) (i) Subject to the provisions of subparagraph (iii) of this paragraph,
the regulations adopted by the Commissioner shall include a uniform treatment plan
form for utilization review of services for the treatment of a mental illness, emotional
disorder, or a drug abuse or alcohol abuse disorder.
(ii) The uniform treatment plan form adapted by the
Commissioner:
1. shall adequately protect the confidentiality of the patient;
and
2. may only request the patient's membership number, policy
number, or other similar unique patient identifier and first name for patient
identification.
(iii) The Commissioner may waive the requirements of regulations
adopted under subparagraph (i) of this paragraph for the use of a uniform treatment
plan form for any entity that would be using the form solely for internal purposes.
15-10B-04.
(a) An applicant for a certificate shall:
(1) submit an application to the Commissioner; 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 documentation that
the Commissioner requires; and
(2) be signed and verified by the applicant.
(c) The application fees required under subsection (a)(2) of this section or §
15-10B-10(b)(2) of this subtitle shall be sufficient to pay for the administrative costs
of the certificate program and any other costs associated with carrying out the
provisions of this subtitle.
15-10B-05.
(a) In conjunction with the application, the private review agent shall submit
information that the Commissioner requires including:
(1) a utilization review plan that includes:
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- 3755 -
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