2013 Maryland Code
INSURANCE
§ 15-1802 - General consideration [Subtitle subject to abrogation]


MD Ins Code § 15-1802 (2013) What's This?

§15-1802. IN EFFECT

// EFFECTIVE UNTIL DECEMBER 31, 2015 PER CHAPTERS 5 AND 6 OF 2010 //

(a) Notwithstanding any other provision of this article or the Health - General Article, a carrier that is participating in the Maryland Patient Centered Medical Home Program under Title 19, Subtitle 1A of the Health - General Article or a carrier that has been authorized by the Commission to implement a single carrier patient centered medical home program may:

(1) pay a patient centered medical home for services associated with coordination of covered medical services to qualifying individuals;

(2) pay a patient centered medical home provider a bonus, fee based incentive, bundled fees, or other incentives approved by the Commission; and

(3) share medical information about a qualifying individual who has elected to participate in the patient centered medical home with the qualifying individual’s patient centered medical home and other treating providers rendering health care services to the qualifying individual.

(b) Except as otherwise provided in this section:

(1) an insurer or nonprofit health service plan that participates in the Maryland Patient Centered Medical Home Program under Title 19, Subtitle 1A of the Health - General Article or that is authorized by the Commission to implement a single carrier patient centered medical home program shall comply with this article; and

(2) a health maintenance organization that participates in the Maryland Patient Centered Medical Home Program under Title 19, Subtitle 1A of the Health - General Article or that is authorized by the Commission to implement a single carrier patient centered medical home program shall comply with this article, where applicable, and Title 19, Subtitle 7 of the Health - General Article.

Disclaimer: These codes may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.