Maryland Statutes
Subtitle 1 - Medical and Pharmacy Assistance Programs
Section 15-103.1 - Promotion of Cost Effectiveness of State Health Care System

The Program shall use its leverage as a high volume purchaser to promote the cost effectiveness of Maryland’s health care system.

Structure Maryland Statutes

Maryland Statutes

Health - General

Title 15 - Assistance Programs

Subtitle 1 - Medical and Pharmacy Assistance Programs

Section 15-101 - Definitions

Section 15-101.1 - Applicability of Other Provisions to a Managed Care Organization

Section 15-102 - Indigent and Medically Indigent -- Preventive and Home Care Services; Educational Opportunities

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 15-102.3 - Applicability of Certain Provisions -- Examination of Financial Affairs and Status

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 15-102.8 - Claims Processing Charge for Medicaid Claims Paid by Department to District of Columbia Hospitals

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 15-103.6 - Regulations to Ensure Parity of Specialty Mental Health and Substance Use Disorder Services With Federal Acts

Section 15-103.7 - Valued-Based Purchasing Program -- Collection of Penalties -- Total Amount of Incentives -- Distribution of Funding

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 - Drugs

Section 15-118.1 - Certain Prescribed Drugs Not Specialty Drugs

Section 15-120 - Subrogation Claims

Section 15-121 - Claims Against Estates

Section 15-121.1 - Subrogation of Department to Program Recipient's Claim Under 19-505 and 19-506 of the Insurance Article

Section 15-121.2 - Subrogation of Department to Program Recipient's Claim Under 19-509 and 19-510 of the Insurance Article

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 15-123 - Fraud

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 - Application for Home- or Community-Based Services Waiver for Seriously Emotionally Disturbed Youth or Autistic or Developmentally Disabled Youth in Order to Receive Federal Matching Funds

Section 15-130.1 - Psychiatric Residential Treatment Demonstration Waiver Application

Section 15-131 - Application for Home- or Community-Based Services Waiver for Federal Matching Funds for Services to Adults

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 15-137 - Home-Based and Community Services for Residents of Nursing Facilities -- Denial of Access Prohibited

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 - Pilot Program to Provide Limited Dental Coverage to Adult Maryland Medical Assistance Program Recipients

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

Section 15-149 - Application to Epsdt Services for Program Recipients -- Prohibition on Conditioning Reimbursement for Services on Presence or Availability of Parent or Caregiver -- Adoption of Regulations