Ch. 399                                    2004 LAWS OF MARYLAND

Annotated Code of Maryland

(2000 Replacement Volume and 2003 Supplement)

BY repealing and reenacting, with amendments,
Article - Health - General
Section 15-103(b)(9)
Annotated Code of Maryland
(2000 Replacement Volume and 2003 Supplement)

SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:

Article - Health - General

15-103.

(a)     (1) The Secretary shall administer the Maryland Medical Assistance
Program.

(b)     (1) As permitted by federal law or waiver, the Secretary may establish a
program under which Program recipients are required to enroll in managed care
organizations.

(9) Each managed care organization shall:

(i) Have a quality assurance program in effect which is subject to
the approval of the Department and which, at a minimum:

1.       Complies with any health care quality improvement
system developed by the Health Care Financing Administration;

2.       Complies with the quality requirements of applicable
State licensure laws and regulations;

3.       Complies with practice guidelines and protocols specified
by the Department;

4.       Provides for an enrollee grievance system, including an
enrollee hotline;

5.       Provides a provider grievance system;

6.       Provides for enrollee and provider satisfaction surveys, to
be taken at least annually;

7.       Provides for a consumer advisory board to receive regular
input from enrollees;

8.       Provides for an annual consumer advisory board report to
be submitted to the Secretary; and

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