Ch. 461

2003 LAWS OF MARYLAND

(2)      A MEMBER WHO SELECTS A CERTIFIED NURSE PRACTITIONER AS A
PRIMARY CARE PROVIDER SHALL BE PROVIDED THE NAME AND CONTACT
INFORMATION OF THE CERTIFIED NURSE PRACTITIONER'S COLLABORATING
PHYSICIAN.

(3)      THIS SUBSECTION MAY NOT BE CONSTRUED TO REQUIRE THAT A
HEALTH MAINTENANCE ORGANIZATION INCLUDE CERTIFIED NURSE
PRACTITIONERS ON THE HEALTH MAINTENANCE ORGANIZATION'S PROVIDER PANEL
AS PRIMARY CARE PROVIDERS.

[(c)] (D) (1) The health maintenance organization shall make available and
encourage appropriate history and baseline examinations for each member within a
reasonable time of enrollment set by it.

(2)     Medical problems that are a potential hazard to the person's health
shall be identified and a course of action to alleviate these problems outlined.

(3)     Progress notes indicating success or failure of the course of action
shall be recorded.

(4)     The health maintenance organization shall:

(i) Offer or arrange for preventive services that include health
education and counseling, early disease detection, immunization, and hearing loss
screening of newborns provided by a hospital before discharge;

(ii) Develop or arrange for periodic health education on subjects
which impact on the health status of a member population; and

(iii) Notify every member in writing of the availability of these and
other preventive services.

(5)     The health maintenance organization shall offer services to prevent a
disease if:

(i) The disease produces death or disability and exists in the
member population;

(ii) The etiology of the disease is known or the disease can be
detected at an early stage; and

(iii) Any elimination of factors leading to the disease or
immunization has been proven to prevent its occurrence, or early disease detection
followed by behavior modification, environmental modification, or medical
intervention has been proven to prevent death or disability.

[(d)](E) (1) To implement these standards of quality of care, a health
maintenance organization shall have a written plan that is updated and reviewed at
least every 3 years.

(2) The plan shall include the following information:

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