Maryland Health - General Section 19-7A-01

Article - Health - General

§ 19-7A-01.

      (a)      In this subtitle the following words have the meanings indicated.

      (b)      "Commissioner" means the Maryland Insurance Commissioner.

      (c)      "Health care services" means a health or medical care procedure or service rendered by a health care provider that:

            (1)      Provides testing, diagnosis, or treatment of a human disease or dysfunction; or

            (2)      Dispenses drugs, medical devices, medical appliances, or medical goods for the treatment of a human disease or dysfunction.

      (d)      "License" includes a certificate of authority, as defined in § 1-101 of the Insurance Article.

      (e)      "Provider" means any person, including a physician or hospital, that is licensed or otherwise authorized in this State to provide health care services.

      (f)      "Provider-sponsored organization" means an entity that:

            (1)      Is a legal aggregation of providers operating collectively for the purpose of providing health care services to Medicare beneficiaries under the federal Medicare+Choice Program;

            (2)      Acts through a licensed entity, such as a partnership, corporation, limited liability company, limited liability partnership, or sole proprietorship, that has authority over the entity's activities and responsibility for satisfying the requirements of § 19-7A-02 of this subtitle; and

            (3)      Provides a substantial proportion of the health care services required to be provided under the federal Medicare+Choice Program directly through providers or affiliated groups of providers.



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