Maryland Statutes
Subtitle 1 - General Provisions
Section 15-136 - Bonus Payments to Primary Care Providers

(a)    (1)    In this section the following words have the meanings indicated.
        (2)    “Carrier” means:
            (i)    an insurer;
            (ii)    a nonprofit health service plan;
            (iii)    a health maintenance organization; or
            (iv)    any other person that provides health benefit plans subject to regulation by the State.
        (3)    “Group model health maintenance organization” has the meaning stated in § 19–713.6(a) of the Health – General Article.
    (b)    This section applies only to contracts or policies that:
        (1)    are issued or delivered by a carrier; and
        (2)    provide hospital, medical, or surgical benefits to individuals or groups on an expense–incurred basis.
    (c)    (1)    Except as provided in subsection (d) of this section, each carrier shall pay a bonus to primary care providers for services provided in the office:
            (i)    after 6 p.m. and before 8 a.m.; or
            (ii)    on weekends and national holidays.
        (2)    A carrier shall provide for and describe the terms of the bonus payment required in paragraph (1) of this subsection in a separate clause in the carrier’s contract with the primary care provider.
    (d)    A group model health maintenance organization is not required to make any bonus payments described in subsection (c) of this section to physicians that are employed by the physician group under contract with the group model health maintenance organization.

Structure Maryland Statutes

Maryland Statutes

Insurance

Title 15 - Health Insurance

Subtitle 1 - General Provisions

Section 15-101 - Scope of Title

Section 15-102 - Third-Party Ownership of Policies

Section 15-103 - Simplified Language Required

Section 15-104 - Nonduplication and Coordination Provisions in Policies

Section 15-105 - Coverage Information About Breast Implants

Section 15-106 - Home Medical Equipment

Section 15-107 - Notice to Pharmacies of Change in Pharmaceutical Benefits

Section 15-108 - Record Keeping Procedures

Section 15-109 - Minimum Loss Ratio for Specified Disease Policies

Section 15-110 - Prohibited Referrals

Section 15-111 - Assessment of Fees on Payors

Section 15-112 - Provider Panels

Section 15-112.1 - Carriers and Credentialing Intermediaries; Uniform Credentialing Form

Section 15-112.2 - Provider Contract

Section 15-112.3 - Multi-Carrier Common Online Provider Directory Information System

Section 15-113 - Compensation of Health Care Practitioners or Set of Health Care Practitioners

Section 15-114 - Dental Plans

Section 15-115 - Provider Participation in Managed Care Organizations

Section 15-116 - Communication of Information by Health Care Providers

Section 15-117 - Indemnification of Insurers and Nonprofit Health Service Plans

Section 15-118 - Coinsurance Payments for Health Care Services

Section 15-119 - Uniform Consultation Referral Forms -- in General

Section 15-120 - Uniform Consultation Referral Forms -- Regulations

Section 15-121 - Disclosures Required in Enrollment Sales Materials

Section 15-122 - Notice of Renewal of Health Benefit Plan

Section 15-122.1 - Disbursement of Advance Directive Information Sheet by Carriers

Section 15-123 - Emerging Medical and Surgical Treatments

Section 15-124 - Group Health Insurers -- Enrollment of Minors

Section 15-125 - Restrictions on Assigning, Transferring, or Subcontracting Contracts

Section 15-126 - Access to 911 Emergency System

Section 15-127 - Distribution of Information by Carrier Owning or Contracting With Managed Behavioral Health Care Organizations

Section 15-129 - Stop-Loss Insurance Policies

Section 15-130 - Health Insurance Benefit Card, Prescription Benefit Card, Etc

Section 15-130.1 - Health Insurance Benefit Cards, Prescription Benefit Cards, and Other Technology

Section 15-131 - Electronic Reimbursement

Section 15-132 - Incentives to Health Care Providers

Section 15-133 - Annual Report

Section 15-134 - Effect of Federal Patient Protection and Affordable Care Act on Maryland Plans

Section 15-135 - Covered Benefits for Annual Preventive Care

Section 15-135.1 - Dental Preventive Care Coverage

Section 15-136 - Bonus Payments to Primary Care Providers

Section 15-138 - Direct Reimbursement of Ambulance Service Provider

Section 15-139 - Coverage for Services Delivered Through Telehealth

Section 15-140 - Provisions for Marylanders Transitioning Between Carriers and Between Carriers and State Programs

Section 15-141 - Communications Between Carriers and Enrollees -- Confidentiality

Section 15-142 - Step Therapy or Fail-First Protocol

Section 15-143 - Compensation Agreements Arrangements Under Federally Approved Programs and Models

Section 15-144 - Certain Carriers to Issue Report on Certain Health Benefit Plans -- Information Included -- Comparative Analysis of Nonquantitative Treatment Limitations and Data -- Form

Section 15-145 - Definitions -- When Health Savings Account Established