Section 14-701 - to 14-710. Public-Private Health Care Programs. - Maryland Statutes

§ 14-701. Definitions [Subtitle subject to abrogation].
 

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

(b)  Certified nonprofit corporation.- "Certified nonprofit corporation" means a nonprofit corporation certified under this subtitle to establish and operate a public-private health care program. 

(c)  Health care provider.- "Health care provider" means any person, including a physician or hospital, who is licensed or otherwise authorized to provide health care services in the State. 

(d)  Health care services.- "Health care services" has the meaning stated in § 19-701 of the Health - General Article. 

(e)  Qualifying individual.- "Qualifying individual" means an individual who: 

(1) is not eligible for or enrolled in the federal Medicare program, the Maryland Primary Adult Care Program, or the Maryland Children's Health Program; 

(2) is not covered under a health benefit plan issued under Title 15, Subtitle 12 of this article; and 

(3) meets any other eligibility requirements established by a public-private health care program. 

(f)  Participants.- "Participants" means qualifying individuals enrolled in a public-private health care program. 

(g)  Public-private health care program.- "Public-private health care program" means a program that: 

(1) is established and operated by a nonprofit corporation that: 

(i) has been certified by the Commissioner under this subtitle; and 

(ii) has entered into a written agreement with each county in which the program proposes to operate; and 

(2) for a membership fee, provides or arranges for the provision of health care services for participants. 
 

[2008, chs. 626, 627.]