§ 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.
§ 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.
§ 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.
