(a) The Commissioner shall adopt regulations to carry out this subtitle.
(b) In addition to the requirements of subsection (a) of this section, the Commissioner shall adopt by regulation a requirement that each carrier provide a mechanism in a form and manner that the Commissioner may require to enable a member to:
(1) be informed of the member’s right to challenge a decision made by a carrier that resulted in the nonpayment of a health care service; and
(2) access the Consumer Education and Advocacy Program in the Administration.
Structure Maryland Statutes
Subtitle 10A - Complaint Process for Adverse Decisions or Grievances
Section 15-10A-01 - Definitions
Section 15-10A-01.1 - Applicability
Section 15-10A-02 - Internal Grievance Process
Section 15-10A-03 - Review of Grievance Decision
Section 15-10A-04 - Decisions -- Final Decision; Notice; Hearing; Remedies for Noncompliance
Section 15-10A-05 - Independent Review Organizations or Medical Experts
Section 15-10A-07 - Quarterly Report to Commissioner by Health Advocacy Unit
Section 15-10A-08 - Annual Summary Report by Health Advocacy Unit
Section 15-10A-09 - Regulations; Right to Challenge Decision Resulting in Nonpayment