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2007 Vetoed Bills and Messages
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S.B. 557
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(ii) The failure of a carrier to provide the notice required under
subparagraph (i) of this paragraph is a violation of this article and the carrier is
subject to the penalties provided by § 4-113(d) of this article.
(iii) [If,] EXCEPT AS PROVIDED IN SUBSECTION (O) OF THIS
SECTION, IF, under subparagraph (i)1 of this paragraph, a carrier provides notice to
the provider of its intent to continue to process the provider's application to obtain
necessary credentialing information, the carrier, within 120 days after the date the
notice is provided, shall:
1. accept or reject the provider for participation on the
carrier's provider panel; and
2. send written notice of the acceptance or rejection to
the provider at the address listed in the application.
(iv) The failure of a carrier to provide the notice required under
subparagraph (iii)2 of this paragraph is a violation of this article and the carrier is
subject to the provisions of and penalties provided by §§ 4-113 and 4-114 of this
article.
(4) (i) A carrier that receives an incomplete application shall
return the application to the provider at the address listed in the application within 10
days after the date the application is received.
(ii) The carrier shall indicate to the provider what information
is needed to make the application complete.
(iii) The provider may return the completed application to the
carrier.
(iv) After the carrier receives the completed application, the
carrier is subject to the time periods established in paragraph (3) of this subsection.
(5) A carrier may charge a reasonable fee for an application submitted
to the carrier under this section.
(O) THE PROVISIONS OF SUBSECTION (D)(3)(III) OF THIS SECTION DO
NOT APPLY TO A CARRIER THAT USES A CREDENTIALING INTERMEDIARY THAT:
(1) IS A HOSPITAL OR ACADEMIC MEDICAL CENTER;
(2) IS A PARTICIPATING PROVIDER ON THE CARRIER'S PROVIDER
PANEL; AND
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- 4302 -
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