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Section 15-115 - Provider Participation in Managed Care Organizations — Maryland Law | CourtGPT
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Maryland Legal Code

Section 15-115 - 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.