Md. Code Ann., Ins. § 15-604
Redline — January 1, 2020 → current.View current text →
Current — January 1, 2021
As of January 1, 2020
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:
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
(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 Maryland’s all–payer model contract approved by the federal Center for Medicare and Medicaid Innovation.
(2) comply with the applicable terms and conditions of the all–payer model contract, as defined in § 19–201 of the Health – General Article.
Official source: Maryland General Assembly. Reproduced from public-domain Maryland statutes; confirm against the official source for the current text. Not legal advice.