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2017 Maryland Code
Insurance
Title 15 - Health Insurance
Subtitle 1 - General Provisions
§ 15-115. Provider participation in managed care organizations
Universal Citation: MD Ins Code § 15-115 (2017)
- (a) "Carrier" defined. --
- (1) In this section, "carrier" means:
- (i) an insurer;
- (ii) a nonprofit health service plan;
- (iii) a health maintenance organization;
- (iv) a dental plan organization; or
- (v) any other person that provides health benefit plans subject to regulation by the State.
- (2) "Carrier" includes an entity that arranges a provider panel for a carrier.
- (1) In this section, "carrier" means:
- (b) Impairment of provider participation prohibited. -- A carrier that operates a managed care organization under Title 15, Subtitle 1 of the Health - General Article may not deny, limit, or otherwise impair the participation of a provider under contract with the carrier for choosing not to participate or limiting participation in the carrier's managed care organization if the carrier is in violation of ยง 15-102.5 of the Health - General Article.
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