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

[(2)] (II) the member's responsibilities for obtaining behavioral health
care services;

[(3)] (III) the reimbursement methodology that the carrier and managed
behavioral health care organization use to reimburse providers for behavioral health
care services; and

[(4)] (IV) the procedure that a member must utilize when attempting to
obtain behavioral health care services outside the network of providers used by the
carrier or managed behavioral health care organization.

[(c)] (2) The explanation that a carrier is required to distribute under
[subsection (b)(3) of this section] PARAGRAPH (1)(III) OF THIS SUBSECTION shall be
consistent with § 15-121(c) of this subtitle.

(3)  A CARRIER THAT OWNS OR CONTRACTS WITH A MANAGED
BEHAVIORAL HEALTH CARE ORGANIZATION SHALL:

(I) INCLUDE INFORMATION ON BEHAVIORAL HEALTH CARE
PROVIDERS IN THE LIST OF PROVIDERS ON THE CARRIER'S PROVIDER PANEL
REQUIRED UNDER § 15-112(J) OF THIS SUBTITLE; AND

(II) PROVIDE THE SAME INFORMATION ON BEHAVIORAL HEALTH
CARE PROVIDERS THAT IS REQUIRED FOR OTHER PROVIDERS UNDER § 15-112(J) OF
THIS SUBTITLE.

(4)  (I) A CARRIER THAT CONTRACTS WITH A MANAGED BEHAVIORAL
HEALTH CARE ORGANIZATION SHALL REQUIRE THE MANAGED BEHAVIORAL HEALTH
CARE ORGANIZATION TO PROVIDE TO THE CARRIER ON AN ANNUAL BASIS A REPORT
ON THE DIRECT BEHAVIORAL HEALTH CARE EXPENSES OF THE MANAGED
BEHAVIORAL HEALTH CARE ORGANIZATION.

(II) THE REPORT REQUIRED UNDER SUBPARAGRAPH (I) OF THIS
PARAGRAPH SHALL BE MADE PUBLICLY AVAILABLE BY THE CARRIER.

[(d) The Commissioner shall adopt regulations to carry out the provisions of
this section.]

[(e)] (D) (1) Except as provided under paragraph (2) of this subsection, [on
or before March 1 of each year,] each EACH carrier that provides behavioral health
care services through a company owned wholly or in part by the carrier or through a
contract with a managed behavioral health care organization shall [file with the
Commissioner, on] COMPLETE AND MAINTAIN COPIES OF the A form required
DEVELOPED by the [Commissioner, the mental health expense ratio for the provision
of behavioral health care services to members] COMMISSIONER THAT SHALL
INCLUDE INCLUDES THE FOLLOWING INFORMATION:

(I)      THE CARRIER'S DIRECT PAYMENTS FOR THE PRECEDING
CALENDAR YEAR; AND

(II)     THE INFORMATION REQUIRED TO BE COLLECTED BY A
CARRIER UNDER SUBSECTION (C)(4) OF THIS SECTION; AND

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