Statutes, codes, and regulations
Maryland Administrative code
Title 31 - MARYLAND INSURANCE ADMINISTRATIONSubtitle 12 - HEALTH MAINTENANCE ORGANIZATIONS; ENTITIES THAT ACT AS HEALTH INSURERS
Chapter 31.12.08 - Payments to Nonparticipating Providers
Section 31.12.08.03 - Payment to Nonparticipating Providers

Md. Code Regs. 31.12.08.03

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Current through Register Vol. 52, No. 1, January 10, 2025
Section 31.12.08.03 - Payment to Nonparticipating Providers
A. A health maintenance organization shall calculate the amount owed to a nonparticipating provider for covered evaluation and management services provided to an enrollee in accordance with Regulation .05 of this chapter.
B. A health maintenance organization shall calculate the amount owed to a nonparticipating provider for covered services other than evaluation and management services provided to an enrollee in accordance with Regulation .06 of this chapter.

Md. Code Regs. 31.12.08.03

Regulations .03 adopted as an emergency provision effective January 1, 2010 (37:4 Md. R. 337); adopted permanently effective March 8, 2010 (37:5 Md. R. 433)