Maryland Code § IN-15-816

Section IN-15-816
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(a) This section applies to:
(1) insurers and nonprofit health service plans that provide hospital,
medical, or surgical benefits to individuals or groups on an expense-incurred basis
under health insurance policies that are issued or delivered in the State; and
(2) health maintenance organizations that provide hospital, medical,
or surgical benefits to individuals or groups under contracts that are issued or
delivered in the State.
(b) An entity subject to this section:
(1) shall classify an obstetrician/gynecologist as a primary care
provider; or

(2) if the obstetrician/gynecologist chooses not to be a primary care
provider, shall allow a woman to receive routine gynecological care from an in-
network obstetrician/gynecologist without requiring the woman to visit a primary
care provider first, if:
(i) the care is medically necessary, including care that is
routine;
(ii) after each visit for gynecological care, the
obstetrician/gynecologist communicates with the woman's primary care provider
about any diagnosis or treatment rendered; and
(iii) the obstetrician/gynecologist confers with the primary care
provider before performing any diagnostic procedure that is not routine gynecological
care rendered during an annual visit.
(c) If an entity subject to this section classifies an obstetrician/gynecologist
as a primary care provider as provided in subsection (b) of this section, and a woman
does not choose an obstetrician/gynecologist as the woman's primary care provider,
the entity shall allow the woman an annual visit to an in-network
obstetrician/gynecologist for routine gynecological care without requiring the woman
to visit the woman's primary care provider first, whether or not the primary care
provider is qualified to and regularly does provide routine gynecological care.
(d) (1) An entity subject to this section shall allow a woman to receive
medically necessary, routine obstetric and gynecological care from an in-network,
certified nurse midwife or any other in-network provider authorized under the Health
Occupations Article to provide obstetric and gynecological services without first
requiring the woman to visit a primary care provider.
(2) A certified nurse midwife or other nonphysician provider
authorized under the Health Occupations Article to provide obstetric and
gynecological services shall consult with an obstetrician/gynecologist with whom the
certified nurse midwife or other provider has a collaborative agreement, in
accordance with the collaborative agreement, regarding any care rendered under this
subsection.

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