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Martin O'Malley, Governor Ch. 574
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[(7)] (VII) The freestanding medical facility pilot project meets the
requirements under § 19-3A-02(b) of this subtitle; AND
(2) ONE FREESTANDING MEDICAL FACILITY PILOT PROJECT IF:
(I) THE FREESTANDING MEDICAL FACILITY PILOT
PROJECT IS ESTABLISHED BY, AND WILL OPERATE ADMINISTRATIVELY AS PART
OF, AN ACUTE CARE GENERAL HOSPITAL LOCATED IN TALBOT COUNTY;
(II) THE FREESTANDING MEDICAL FACILITY PILOT
PROJECT WILL OPERATE IN QUEEN ANNE'S COUNTY;
(III) THE CAPITAL EXPENDITURE TO IMPLEMENT THE
FREESTANDING MEDICAL FACILITY PILOT PROJECT OTHERWISE MEETS THE
REQUIREMENTS OF § 19-120(K)(6)(VIII) OF THIS TITLE; AND
(IV) THE FREESTANDING MEDICAL FACILITY PILOT
PROJECT MEETS THE REQUIREMENTS UNDER § 19-3A-02(B) OF THIS SUBTITLE.
(c) (1) A freestanding medical facility pilot project shall provide to the
Maryland Health Care Commission information, as specified by the Commission, on
the configuration, location, operation, and utilization, including patient-level
utilization, of the pilot project.
(2) A certificate of need is not required for a freestanding medical
facility pilot project.
(d) (1) This subsection applies to:
(i) Individual, group, or blanket health insurance policies and
contracts delivered or issued for delivery in the State by insurers, nonprofit health
service plans, health maintenance organizations; and
(ii) Medicaid managed care organizations.
(2) An entity subject to this subsection shall pay the claim for covered
services submitted by a freestanding medical facility pilot project at rates consistent
with the contract between the entity and the freestanding medical facility pilot project.
(e) The Maryland Medical Assistance Program shall pay a fee-for-service
claim submitted by a freestanding medical facility pilot project at a rate at least equal
to the rate paid by Medicare.
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- 3751-
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