Each authorized insurer, nonprofit health service plan, and fraternal benefit society, and each managed care organization that is authorized to receive Medicaid prepaid capitation payments under Title 15, Subtitle 1 of the Health – General Article, shall:
(1) pay hospitals for hospital services rendered on the basis of the rate approved by the Health Services Cost Review Commission; and
(2) comply with the applicable terms and conditions of the all–payer model contract, as defined in § 19–201 of the Health – General Article.
Structure Maryland Statutes
Subtitle 6 - Required Reimbursement of Institutions
Section 15-601 - Benefits for Using Low-Cost Hospitals
Section 15-602 - Treatment in State or Local Government Hospitals or Institutions
Section 15-603 - Reimbursement of Maryland Department of Health
Section 15-604 - Rates for Payments to Hospitals; Compliance With All-Payor Model Contract