Code of Maryland Regulations (Last Updated: April 6, 2021) |
Title 10. Maryland Department of Health |
Part 4. |
Subtitle 25. MARYLAND HEALTH CARE COMMISSION |
Chapter 10.25.17. Benchmarks for Preauthorization of Health Care Services |
Sec. 10.25.17.04. Reporting
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A. On or before August 1, 2015, a payor that requires a step therapy or fail-first protocol shall report to the Commission in a form and manner specified by the Commission on its attainment of the benchmark in Regulation .03D of this chapter.
B. A payor that becomes authorized to provide benefits or services within the State of Maryland after October 1, 2012, shall report to the Commission in a form and manner specified by the Commission on its attainments of each benchmark in Regulation .03 of this chapter within 3 months of the payors offering of services or benefits within the State.
C. If requested by the Commission, a payor shall demonstrate continued compliance with the benchmarks in Regulation .03 of this chapter.