ROBERT L. EHRLICH, JR., Governor                             Ch. 323

(III) 3. QUALITY ASSURANCE AND UTILIZATION MANAGEMENT
PROGRAM OR ACTIVITY EXPENSES;

(IV) 4. PROMOTION AND MARKETING EXPENSES;

(V) 5. TAXES, FEES, AND ASSESSMENTS;

(VI) 6. LEGAL EXPENSES;

(VII) 7. SALARY EXPENSES FOR EMPLOYEES THAT ARE NOT
RELATED TO THE DELIVERY OF DIRECT CARE EXPENSES BEHAVIORAL HEALTH CARE
SERVICES TO PATIENTS;

(VIII) 8. COMPUTER EXPENSES;

(IX) 9. PROVIDER CREDENTIALING;

(X) 10. COLLECTION AND ADMINISTRATIVE REVIEW OF
TREATMENT PLANS;

(XI) 11. AUDITING THE FINANCIAL REPORT SUBMITTED TO THE
COMMISSIONER UNDER THIS SECTION;

(XII) QUALITY ASSURANCE, STANDARDS OF CARE, OR UTILIZATION
MANAGEMENT PROGRAM OR ACTIVITY EXPENSES;

(XIII) 12. DEBT PAYMENT AND DEBT SERVICE; AND

(XIV) 13. OTHER GENERAL AND ADMINISTRATIVE EXPENSES.

(II) "BEHAVIORAL HEALTH CARE ADMINISTRATIVE EXPENSES"
DOES NOT INCLUDE EXPENSES INCURRED FOR BEHAVIORAL HEALTH CARE
SERVICES.

(3) (I) "Behavioral health care services" means procedures or services
rendered by a health care provider for the treatment of mental illness, emotional
disorders, drug abuse, or alcohol abuse.

(II) "BEHAVIORAL HEALTH CARE SERVICES" INCLUDES ANY
QUALITY ASSURANCE OR UTILIZATION MANAGEMENT ACTIVITIES OR TREATMENT
PLAN REVIEWS THAT ARE CLINICAL IN NATURE.

(II) (III) "BEHAVIORAL HEALTH CARE SERVICES" DOES NOT
INCLUDE THE BEHAVIORAL HEALTH CARE ADMINISTRATIVE EXPENSES.
ADMINISTRATIVE FUNCTIONS.

[(3)] (4)     "Carrier" means:

(i)      a health insurer;

(ii)    a nonprofit health service plan;

(iii)   a health maintenance organization;

(iv)    a preferred provider organization;

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