Maryland Insurance Section 15-10C-04
§ 15-10C-04.
  (a)   Subject to the hearing procedures in §§ 2-210 through 2-214 of this article, the Commissioner may suspend, revoke, or refuse to renew a certificate of a medical director if the Commissioner finds a pattern that the utilization management procedures and policies used by the medical director in making utilization review decisions or used by a private review agent employed by or under contract with the health maintenance organization over whose utilization review decisions the medical director has responsibility are not:
    (1)   objective;
    (2)   clinically valid;
    (3)   compatible with established principles of health care; or
    (4)   flexible enough to allow deviations from the norms when justified on a case by case basis.
  (b)   The Commissioner may consult with an independent review organization or medical expert that meets the requirements of § 15-10A-05 of this title, the Department, the Board, or any other appropriate entity for purposes of taking an action described under subsection (a) of this section.