Maryland Code § HG-19-713.5

Section HG-19-713.5
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(a) If a health maintenance organization requires its subscribers to have a
referral to receive consultation services in writing, the health maintenance
organization shall use the uniform consultation referral form adopted by the
Commissioner under § 15-120 of the Insurance Article as the sole instrument for
referrals for consultation services.
(b) A health maintenance organization may not impose as a condition of
coverage any requirement to:
(1) Modify the uniform consultation referral form; or
(2) Submit additional consultation referral forms.

(c) The uniform consultation referral form shall be properly completed by
the health care provider referring the subscriber for consultation services.

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