(a) In this subtitle the following words have the meanings indicated. (b) 'Commissioner' means the Maryland Insurance Commissioner. (c) 'Health care services' means a health or medical care procedure or service rendered by a health care provider that: (1) Provides testing, diagnosis, or treatment of a human disease or dysfunction; or (2) Dispenses drugs, medical devices, medical appliances, or medical goods for the treatment of a human disease or dysfunction. (d) 'License' includes a certificate of authority, as defined in § 1-101 of the Insurance Article. (e) 'Provider' means any person, including a physician or hospital, that is licensed or otherwise authorized in this State to provide health care services. (f) 'Provider-sponsored organization' means an entity that: (1) Is a legal aggregation of providers operating collectively for the purpose of providing health care services to Medicare beneficiaries under the federal Medicare+Choice Program; (2) Acts through a licensed entity, such as a partnership, corporation, limited liability company, limited liability partnership, or sole proprietorship, that has authority over the entity’s activities and responsibility for satisfying such as a partnership, corporation, limited liability company, limited liability partnership, or sole proprietorship, that has authority over the entity’s activities and responsibility for satisfying the requirements of § 19-7A-02 of this subtitle; and (3) Provides a substantial proportion of the health care services required to be provided under the federal Medicare+Choice Program directly through providers or affiliated groups of providers.
Maryland Legal Code