Provider participation in managed care organizations

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    (a)    (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)    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.


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