Md. Code Regs. 10.25.17.01

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.25.17.01 - Scope

A. This chapter applies to a payor that:

(1) Requires preauthorization for health care services; and

(2) Is required to report to the Maryland Health Care Commission on its attainment and plans for attainment of certain preauthorization benchmarks.

B. This chapter does not apply to a pharmacy benefits manager that only provides services for:

(1) Workers' compensation claims pursuant to Labor and Employment Article, Title 9, Annotated Code of Maryland; or

(2) Personal injury protection claims pursuant to Insurance Article, Title 19, Annotated Code of Maryland.

Md. Code Regs. 10.25.17.01

Regulation .01 amended effective 49:27 Md. R. 1110, eff. 1/9/2023