Section 15-115 - Provider participation in managed care organizations. - Maryland Statutes

§ 15-115. Provider participation in managed care organizations.
 

(a)  "Carrier" defined.-  

(1) In this section, "carrier" means: 

(i) an insurer; 

(ii) a nonprofit health service plan; 

(iii) a health maintenance organization; 

(iv) a dental plan organization; or 

(v) any other person that provides health benefit plans subject to regulation by the State. 

(2) "Carrier" includes an entity that arranges a provider panel for a carrier. 

(b)  Impairment of provider participation prohibited.- A carrier that operates a managed care organization under Title 15, Subtitle 1 of the Health - General Article may not deny, limit, or otherwise impair the participation of a provider under contract with the carrier for choosing not to participate or limiting participation in the carrier's managed care organization if the carrier is in violation of § 15-102.5 of the Health - General Article. 
 

[An. Code 1957, art. 48A, § 490FF; 1997, ch. 35, § 2; ch. 70, § 7.]