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31.10.31.00.htm 31.10.31.00. Title 31 MARYLAND INSURANCE ADMINISTRATION Subtitle 10 HEALTH INSURANCE ― GENERAL Chapter 31 Behavioral Health Care Expense Form Authority: Insurance Article, §15-127(f) Annotated Code of Maryland
31.10.31.01.htm 31.10.31.01. 01 Scope.. A. This chapter applies to each carrier that provides behavioral health care services through:. 1) A company owned wholly or partly by the carrier; or. 2) A contract with a managed behavioral health care organization.. B. This chapter does not apply to a person that, for an administrator fee only, solely arranges a provider panel for a carrier for the provision of behavioral health care services on a discounted fee-for-service basis.
31.10.31.02.htm 31.10.31.02. 02 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) Behavioral Health Care Administrative Expenses.. a) "Behavioral health care administrative expenses" means any expenses that are for administrative functions including:i) Billing and collection expenses;. ii) Accounting and financial reporting expenses;. iii) Quality assurance and utilization management program or activity expenses;. iv) Promotion and marketing expenses;.
31.10.31.03.htm 31.10.31.03. 03 Behavioral Health Care Expense Form.. Within 90 days after the end of each calendar year, each carrier shall complete the form developed by the Commissioner by obtaining, as necessary, and entering on the form the following information:A. The name of each managed behavioral health care organization with which the carrier has a contract;B. The calendar year for which the data is reported;. C. Total direct payments made by the carrier to each managed behavioral hea
31.10.31.04.htm 31.10.31.04. 04 Maintenance of Form.. A. A carrier shall maintain each form that the carrier is required to complete under Regulation .03 of this chapter for at least 5 years after the date that the form is required to be completed.B. A carrier may maintain a form in paper, photographic, microprocessed, magnetic, mechanical, electronic, digital, or any other media provided that the form is maintained in a manner that:1) Is clear and legible;.
31.10.31.9999.htm 31.10.31.9999. Administrative History Effective date: February 16, 2004 (31:3 Md. R. 209).
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