Section 19-1 - A-01 to 19-1A-05. [Abrogated]. - Maryland Statutes

§ 19-1A-01. Definitions [Subtitle subject to abrogation].
 

(a)  In general.- In this subtitle the following words have the meanings indicated. 

(b)  Carrier.- "Carrier" has the meaning stated in § 15-1801 of the Insurance Article. 

(c)  Federally qualified health center.- "Federally qualified health center" has the meaning stated in 42 U.S.C. § 254b. 

(d)  Health benefit plan.- "Health benefit plan" has the meaning stated in § 15-1801 of the Insurance Article. 

(e)  Managed care organization.- "Managed care organization" has the meaning stated in § 15-101 of this article. 

(f)  Patient centered medical home.- "Patient centered medical home" means a primary care practice organized to provide a first, coordinated, ongoing, and comprehensive source of care to patients to: 

(1) Foster a partnership with a qualifying individual; 

(2) Coordinate health care services for a qualifying individual; and 

(3) Exchange medical information with carriers, other providers, and qualifying individuals. 

(g)  Primary care practice.- "Primary care practice" means a practice or federally qualified health center organized by or including pediatricians, general internal medicine physicians, family medicine physicians, or nurse practitioners. 

(h)  Prominent carrier.-  

(1) "Prominent carrier" means a carrier reporting at least $90,000,000 in written premiums for health benefit plans in the State in the most recent Maryland health benefit plan report submitted to the Insurance Commissioner as required under § 15-605 of the Insurance Article. 

(2) "Prominent carrier" does not include a group model health maintenance organization as defined in § 19-713.6 of this title. 

(i)  Qualifying individual.- "Qualifying individual" means: 

(1) A person covered under a health benefit plan issued by a carrier; or 

(2) A member of a managed care organization. 

(j)  Single carrier patient centered medical home program.- "Single carrier patient centered medical home program" has the meaning stated in § 15-1801 of the Insurance Article. 
 

[2010, chs. 5, 6.]