Subject to the approval of the Commissioner, an insurer may:
(1) offer or administer a health benefit program under which the insurer offers preferred provider insurance policies that limit, through the use of provider service contracts, the numbers and types of providers of health care services eligible for payment as preferred providers; and
(2) establish terms and conditions that providers must meet to qualify for payment as preferred providers.
Structure Maryland Statutes
Title 14 - Entities That Act as Health Insurers
Subtitle 2 - Preferred Provider Organizations
Section 14-202 - Scope of Subtitle
Section 14-204 - Authority of Insurers
Section 14-205 - Benefits for Health Care Services; Payments to and Rates for Providers
Section 14-205.1 - Option to Include Preferred or Nonpreferred Providers