Maryland Code § HG-15-102.3

Section HG-15-102.3
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(a) The provisions of § 15-112(b)(1)(ii) and (2), (f) through (m), (r), (s), and
(u) through (w) of the Insurance Article (Provider panels) shall apply to managed care
organizations in the same manner they apply to carriers.
(b) The provisions of § 15-1005 of the Insurance Article shall apply to
managed care organizations in the same manner they apply to health maintenance
organizations.
(c) The provisions of §§ 4-311, 15-604, and 15-605 of the Insurance Article
shall apply to managed care organizations in the same manner they apply to carriers.
(d) (1) The provisions of §§ 19-712(b), (c), and (d), 19-713.2, and 19-
713.3 of this article apply to managed care organizations in the same manner they
apply to health maintenance organizations.
(2) The Insurance Commissioner shall consult with the Secretary
before taking any action against a managed care organization under this subsection.
(e) The provisions of § 15-112.1 of the Insurance Article apply to managed
care organizations in the same manner they apply to carriers.
(f) The Insurance Commissioner or an agent of the Commissioner shall
examine the financial affairs and status of each managed care organization at least
once every 5 years.
(g) The provisions of § 15-1628.3 of the Insurance Article apply to
pharmacy benefits managers that contract with managed care organizations in the
same manner as they apply to pharmacy benefits managers that contract with
carriers.
(h) (1) The provisions of § 6-102.1 of the Insurance Article apply to
managed care organizations.

(2) For each calendar year that the Insurance Commissioner assesses
a health insurance provider fee under § 6-102.1 of the Insurance Article, a managed
care organization shall pay the fee on a quarterly basis in accordance with a schedule
adopted by the Insurance Commissioner.
(i) The provisions of §§ 15-130 and 15-130.1 of the Insurance Article apply
to managed care organizations and pharmacy benefits managers that contract with
managed care organizations.
(j) The provisions of § 33-105(f) of the Insurance Article apply to managed
care organizations.
(k) (1) To the extent authorized under federal law and subject to
paragraph (2) of this subsection, the provisions of § 15-1008(a), (b), (c)(1) and (2)(i),
(d), (e), and (f) of the Insurance Article shall apply to managed care organizations in
the same manner they apply to carriers.
(2) If a retroactive denial of reimbursement is the result of
coordination of benefits, a written statement provided by a managed care
organization to a health care provider in accordance with § 15-1008(c)(2)(i) of the
Insurance Article shall include the name and address of the entity identified by the
managed care organization as responsible for payment of the claim.
(l) Beginning July 1, 2025, the provisions of § 15-859 of the Insurance
Article apply to managed care organizations in the same manner they apply to
carriers.
(m) Beginning January 1, 2026, the provisions of § 15-861 of the Insurance
Article apply to managed care organizations in the same manner that they apply to
carriers.
(n) Beginning January 1, 2026, the provisions of § 15-862 of the Insurance
Article apply to managed care organizations in the same manner that they apply to
carriers.
(o) The provisions of § 15-863 of the Insurance Article apply to managed
care organizations in the same manner they apply to carriers.

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