2013 Maryland Code
HEALTH - GENERAL
§ 19-7A-03 - Licenses and requirements for providing services
(a) License. --
(1) Before an entity may operate as a provider-sponsored organization under the federal Medicare+Choice Program, the entity must obtain a license from the Commissioner.
(2) The Commissioner shall issue a license under paragraph (1) of this subsection to any entity to operate as a provider-sponsored organization that meets the requirements of subsection (b) of this section.
(b) Requirements for providing services. -- To operate as a provider-sponsored organization under the federal Medicare+Choice Program in this State, an entity shall:
(1) Meet the definition of a provider-sponsored organization under § 19-7A-01 of this subtitle; and
(2) Meet the requirements applicable to a health maintenance organization under Subtitle 7 of this title to the extent those requirements are not preempted by federal law.
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