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Martin O'Malley, Governor
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Ch.8
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B. 20 percent of the number of independent living units
in a community having 300 or more independent living units;
19-345.2.
(c) (3) A facility that is certified as a continuing care provider under
[Article 70B of the Code] TITLE 10, SUBTITLE 4 OF THE HUMAN SERVICES
ARTICLE is not subject to the provisions of subsection (b) of this section if:
(i) The facility transfers a resident to a lesser level of care
within the same facility in accordance with a contractual agreement between the
facility and the resident; and
(ii) The transfer is approved by the attending physician.
19-712.6.
(a) Whenever a subscriber or an enrollee of a health maintenance
organization is a resident of a continuing care facility that is regulated under [Article
70B of the Code] TITLE 10, SUBTITLE 4 OF THE HUMAN SERVICES ARTICLE and
received health care services in an acute care health care facility, the resident's
primary care physician shall refer, if medically appropriate, the resident to the skilled
nursing unit at the resident's continuing care facility for the provision of health care
services included in the resident's health maintenance organization Medicare contract
if:
(1) The primary care physician and the resident or the designated
representative of the resident do not choose an alternative course of treatment;
(2) The continuing care facility becomes a contracting provider in
accordance with the health maintenance organization's standard terms and conditions
for its participating providers and meets the credentialing criteria for becoming a
participating provider;
(3) The continuing care facility meets all the guidelines established by
the Division of Licensing and Certification of the Department, including Medicare
certification; and
(4) The continuing care facility's skilled nursing unit is certified as a
Medicare skilled nursing facility.
19-1409.
(b) The Oversight Committee shall consist of the following members:
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- 705 -
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