Subtitle 7 - HEALTH MAINTENANCE ORGANIZATIONS

Section 19-701 - [Effective Until 10/1/2024] Definitions
Section 19-701 - [Effective 10/1/2024] Definitions
Section 19-702 - Declaration of intent and policy
Section 19-703 - Scope of subtitle
Section 19-703.1 - [Repealed]
Section 19-704 - Corporate practice of medicine
Section 19-705 - Rules and regulations
Section 19-705.1 - Standards of quality of care
Section 19-705.2 - Complaints of members and subscribers
Section 19-705.3 - Centers for Disease Control and Prevention's guidelines on universal precautions
Section 19-705.4 - Limitations on covered services and visits
Section 19-705.5 - Coverage for inherited metabolic disease
Section 19-705.6 - Emergency services
Section 19-705.7 - Toll-free telephone access
Section 19-705.8 - Health Maintenance Organization Quality Assurance Unit
Section 19-706 - Regulation; applicability of other laws
Section 19-706.1 - Rehabilitation or liquidation of health maintenance organizations
Section 19-707 - Authorization to operate
Section 19-708 - Applications for certificates to operate
Section 19-709 - Initial fees
Section 19-710 - [Effective Until 7/1/2025] Basic requirements to operate as a health maintenance organization
Section 19-710 - [Effective 7/1/2025] Basic requirements to operate as a health maintenance organization
Section 19-710.1 - Payment to health care provider not under written contract
Section 19-710.2 - Point-of-service option
Section 19-710.3 - Task Force on Health Care Access and Reimbursement
Section 19-711 - Issuance of certificate of authority; merger, consolidation, etc., with domestic health maintenance organization
Section 19-711.1 - Conversion to for-profit health maintenance organization
Section 19-711.2 - Acquiring interest or control of foreign health maintenance organization
Section 19-711.3 - Merger, consolidation, or acquisition of health maintenance organization; financing money
Section 19-712 - Powers and authority of health maintenance organization
Section 19-712.1 - Reimbursement to provider
Section 19-712.2 - Notice to pharmacies of change in pharmaceutical benefits
Section 19-712.3 - Uniform claims forms
Section 19-712.4 - Prohibited referrals
Section 19-712.5 - Reimbursement for hospital emergency facility and provider
Section 19-712.6 - Continuing care facility
Section 19-712.7 - Reimbursement to community health resources
Section 19-713 - Rates and contracts
Section 19-713.1 - Contracts between health maintenance organization and subscribers
Section 19-713.2 - Administrative service provider contracts
Section 19-713.3 - Administrative service contracting provider
Section 19-713.4 - Providing pharmaceutical services
Section 19-713.5 - Uniform consultation referral form
Section 19-713.6 - Drug therapy management
Section 19-714 - Marketing documents
Section 19-715 - Application or offer of enrollment
Section 19-716 - Availability of information to members and general public
Section 19-717 - Annual reports
Section 19-718 - Financial affairs
Section 19-719 - Health care services; examination
Section 19-720 - Health Services Cost Review Commission
Section 19-721 - Expiration of certificate of authority
Section 19-722 - Refusal to renew certificate; remedies
Section 19-723 - Supervision of health maintenance organizations
Section 19-724 - Solicitation of members
Section 19-725 - Cancellation of enrollment
Section 19-726 - Prohibited use of certain terms
Section 19-727 - Applicability of tax laws
Section 19-728 - Responsibilities of Department and Commissioner
Section 19-729 - Prohibited acts; remedies
Section 19-730 - Penalties - Violation of 19-729 of this subtitle
Section 19-731 - Penalties - Violation of 19-705 and 19-705.1 of this subtitle
Section 19-732 - Appeal
Section 19-733 - Appeal from decision of Commissioner
Section 19-734 - Short title
Section 19-735 - Foreign health maintenance organization transferring domicile to this State