|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Ch. 61
|
|
|
|
|
|
2000 LAWS OF MARYLAND
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Occurred: As a result of Chs. 127 and 128, Acts of 1999. Correction by the
publisher of the Annotated Code in the 1999 Supplement of the Health -
General Article is ratified by this Act.
15-103.
(b) (21) (vi) The provisions of [§ 19-712.1 of this article] § 15-1005 OF THE
INSURANCE ARTICLE apply to the delivery system for specialty mental health services
established under this paragraph and administered by an administrative services
organization.
DRAFTER'S NOTE:
Error: Erroneous cross-reference in § 15-103(b)(21)(vi) of the Health -
General Article.
Occurred: As a result of Ch. 472, Acts of 1999.
(e) (3) (i) At the request of a federally qualified health center, the
Department shall review the payments made to the center by a Medicaid managed
care organization that has a contractual arrangement with the center to determine
the difference between the payments made to the center and the reasonable cost to
the center as determined in accordance with paragraph (2) of this subsection in
providing services to enrollees of the managed care organization.
(ii) A federally qualified health center may make a request at any
time for the Department to review the payments made to the center by a Medicaid
managed care organization that has a contractual arrangement with the center.
(iii) The effective date for adjustments made- in response to a
request by a federally qualified health center shall be:
1. The date the Department receives the request; or
2. If the request is prompted by a change in the
reimbursement practices of a Medicaid managed care organization, the date the
managed care organization changed its reimbursement to the center, except that an
adjustment under this item may not be retroactive more than 120 days.
(iv) If a managed care organization payment to a center is less than
the center's reasonable cost, as determined in accordance with paragraph (2) of this
subsection, the Department shall set aside a portion of the capitation payment to the
managed care organization for a supplemental payment to the center, in accordance
with the provisions of THIS PARAGRAPH AND paragraphs (1)[, (2),] and [(3)] (2) of
this subsection.
DRAFTER'S NOTE:
Error: Stylistic error in § 15-103(e)(3)(iv) of the Health - General Article.
Occurred: Ch. 261, Acts of 1999.
|
|
|
|
|
|
|
|
|
|
- 536 -
|
|
|
|
|
|
|
|
|
\
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
 |
