(a) Subject to § 15-103(f) of this subtitle, a health maintenance organization that requires its panel providers to participate in a managed care organization shall establish a mechanism, subject to review by the Secretary, which provides for equitable distribution of enrollees and which ensures that a provider will not be assigned a disproportionate number of enrollees.
(b) Nothing in this section may be interpreted as prohibiting a provider from voluntarily accepting additional enrollees.
Structure Maryland Statutes
Title 15 - Assistance Programs
Subtitle 1 - Medical and Pharmacy Assistance Programs
Section 15-101.1 - Applicability of Other Provisions to a Managed Care Organization
Section 15-102.1 - Indigent and Medically Indigent -- Comprehensive System of Health Care
Section 15-102.2 - Applicability of Certain Provisions -- Claims of Subrogation
Section 15-102.4 - Surplus Requirements
Section 15-102.5 - Mechanism to Provide for Equitable Distribution of Enrollees
Section 15-102.6 - Applicability of Other Provisions; Regulations
Section 15-102.7 - Applicability of Certain Premium Tax Provisions
Section 15-103 - Medical Assistance Program
Section 15-103.1 - Promotion of Cost Effectiveness of State Health Care System
Section 15-103.2 - Rfps for Comparing Performance and Cost of Different Managed Care Dental Programs
Section 15-103.3 - Healthchoice Performance Incentive Fund
Section 15-103.4 - Credentialing of Health Care Providers
Section 15-103.5 - Rate Review and Comparison; Reports
Section 15-104 - Contracts With Department of Human Services
Section 15-105 - Reimbursement Procedures Under Program
Section 15-105.1 - Reimbursement Procedures Under Program -- Electronic Reimbursement
Section 15-105.2 - Reimbursement to Health Care Providers
Section 15-106 - Review of Health Care Under Program
Section 15-107 - Cost Reports of Program Participants
Section 15-108 - Field Verification of Program Participants
Section 15-109 - Eligibility; Admissibility of Long-Term Care Transaction Forms
Section 15-109.1 - Plan for Dissemination of Advance Directive Information
Section 15-109.2 - Benefits and Services for Incarcerated or Institutionalized Individuals.
Section 15-110 - Reimbursement -- Acute General and Chronic Care Hospitals
Section 15-111 - Reimbursement -- Day Care for the Elderly and Medically Handicapped Adults
Section 15-112 - Reimbursement -- Physicians
Section 15-113 - Reimbursement -- Public Institutions
Section 15-114 - Reimbursement -- Related Institutions
Section 15-114.1 - Emergency Service Transporters
Section 15-115 - Placement in Skilled or Intermediate Nursing Facility
Section 15-116 - Reimbursement -- Skilled Nursing Facilities
Section 15-117 - Reimbursement -- Reserved Beds
Section 15-118.1 - Certain Prescribed Drugs Not Specialty Drugs
Section 15-120 - Subrogation Claims
Section 15-121 - Claims Against Estates
Section 15-121.3 - Assignment of Subrogation Right
Section 15-122 - Responsibility of Spouse Under Program
Section 15-122.1 - Certain Providers Excluded From Repaying Depreciation Allowance
Section 15-122.2 - Intercepting State Tax Refund for Converted Funds
Section 15-122.3 - Personal Needs Allowance -- Disabled Person With Guardian
Section 15-124.2 - Maryland Medbank Program
Section 15-124.3 - Medicare Option Prescription Drug Program
Section 15-125 - Program for Children With Special Health Care Needs
Section 15-126 - Educational Programs for Handicapped Children
Section 15-128 - Reimbursement for Services Provided by Hospice Care Program
Section 15-129 - Durable Medical Equipment
Section 15-130.1 - Psychiatric Residential Treatment Demonstration Waiver Application
Section 15-132 - Home and Community Based Services for Impaired Individuals; Medicaid Waiver
Section 15-132.1 - Voluntary Tax Withholding
Section 15-133 - Grants to Improve Home- and Community-Based Service Systems
Section 15-134 - Maryland Medical Assistance Program Waiver
Section 15-134.1 - Military Families
Section 15-135 - Home-Based and Community Services for Residents of Nursing Facilities
Section 15-136 - Maryland Pharmacy Access Hotline
Section 15-138 - Employed Persons With Disabilities Program
Section 15-139 - Amendment of State Medical Assistance Program to Receive Federal Matching Funds
Section 15-140 - State Plan Amendment to the Family Planning Program
Section 15-141.1 - Collaborative Care Pilot Program
Section 15-141.2 - Telehealth Defined -- Pilot Program -- Outcome Data -- Reports Required
Section 15-142 - Fair Share Health Care Fund
Section 15-143 - Legal Immigrants -- Pregnant Women and Children
Section 15-145 - Information From and Liability of Health Insurance Carriers
Section 15-146 - Report -- Change to Medical Eligibility for Nursing Facility Level of Care
Section 15-147 - Former Officials or Employees -- Participation in Contracts
Section 15-148 - Prior Authorization Not Required for Contraceptive Drug or Devices