2013 Maryland Code
INSURANCE
§ 14-701 - Definitions [Subtitle subject to abrogation].

§14-701. IN EFFECT

// EFFECTIVE UNTIL MAY 31, 2013 PER CHAPTERS 626 AND 627 OF 2008 //

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

(b) “Certified nonprofit corporation” means a nonprofit corporation certified under this subtitle to establish and operate a public-private health care program.

(c) “Health care provider” means any person, including a physician or hospital, who is licensed or otherwise authorized to provide health care services in the State.

(d) “Health care services” has the meaning stated in § 19-701 of the Health - General Article.

(e) “Qualifying individual” means an individual who:

(1) is not eligible for or enrolled in the federal Medicare program, the Maryland Primary Adult Care Program, or the Maryland Children’s Health Program;

(2) is not covered under a health benefit plan issued under Title 15, Subtitle 12 of this article; and

(3) meets any other eligibility requirements established by a public-private health care program.

(f) “Participants” means qualifying individuals enrolled in a public-private health care program.

(g) “Public-private health care program” means a program that:

(1) is established and operated by a nonprofit corporation that:

(i) has been certified by the Commissioner under this subtitle; and

(ii) has entered into a written agreement with each county in which the program proposes to operate; and

(2) for a membership fee, provides or arranges for the provision of health care services for participants.