(a) If a carrier delegates its internal grievance process to a private review agent, the private review agent shall establish an internal grievance process for its patients and health care providers acting on behalf of a patient.
(b) A private review agent’s internal grievance process shall meet the same requirements established under §§ 15-10A-02 through 15-10A-05 of this title.
(c) A private review agent may not charge a fee to a patient or health care provider for filing a grievance.
Structure Maryland Statutes
Subtitle 10B - Private Review Agents
Section 15-10B-01 - Definitions
Section 15-10B-02 - Purpose of Subtitle
Section 15-10B-04 - Certificates -- Application; Fees
Section 15-10B-05 - Certificates -- Additional Information
Section 15-10B-06 - Determinations by Private Review Agent
Section 15-10B-07 - Adverse Decisions by Private Review Agent
Section 15-10B-08 - Requirements of Internal Grievance Process
Section 15-10B-09 - Requirements of Internal Grievance Process -- Maternity and Newborn Care
Section 15-10B-09.1 - Requirements of Grievance Decision
Section 15-10B-10 - Certificates -- Expiration; Renewal
Section 15-10B-11 - Private Review Agent -- Prohibitions
Section 15-10B-12 - Private Review Agent -- Penalties
Section 15-10B-13 - Right to Hearing and Appeal From Action of Commissioner
Section 15-10B-14 - Waiver of Requirements for Review of Certain Patients
Section 15-10B-15 - List of Private Review Agents
Section 15-10B-16 - Reporting Requirements
Section 15-10B-17 - Patient Referrals by Private Review Agents
Section 15-10B-18 - Withdrawal and Submission of Certificate
Section 15-10B-19 - Examination by Commissioner
Section 15-10B-20 - Examination by Commissioner -- Pharmacy Benefit Manager