Licenses and requirements for providing services

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    (a)    (1)    Before an entity may operate as a provider-sponsored organization under the federal Medicare+Choice Program, the entity must obtain a license from the Commissioner.

        (2)    The Commissioner shall issue a license under paragraph (1) of this subsection to any entity to operate as a provider-sponsored organization that meets the requirements of subsection (b) of this section.

    (b)    To operate as a provider-sponsored organization under the federal Medicare+Choice Program in this State, an entity shall:

        (1)    Meet the definition of a provider-sponsored organization under § 19-7A-01 of this subtitle; and

        (2)    Meet the requirements applicable to a health maintenance organization under Subtitle 7 of this title to the extent those requirements are not preempted by federal law.


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