 |
Code of Maryland Regulations (Last Updated: April 6, 2021) |
 |
Title 10. Maryland Department of Health |
|
|
Part 5. |
|
|
Subtitle 67. MARYLAND HEALTHCHOICE PROGRAM |
|
|
Chapter 10.67.04. Maryland Medicaid Managed Care Program: Managed Care Organizations |
| Sec. 10.67.04.00. Notations |
| Sec. 10.67.04.01. Incorporation by Reference — Repealed |
| Sec. 10.67.04.02. Conditions for Participation |
| Sec. 10.67.04.03. Quality Assessment and Improvement |
| Sec. 10.67.04.04. Special Needs Populations |
| Sec. 10.67.04.05. Special Needs Populations — Children with Special Health Care Needs |
| Sec. 10.67.04.06. Special Needs Populations — Individuals with a Physical Disability |
| Sec. 10.67.04.07. Special Needs Populations — Individuals with a Developmental Disability |
| Sec. 10.67.04.08. Special Needs Populations — Pregnant and Postpartum Women |
| Sec. 10.67.04.09. Special Needs Populations — Homeless Individuals |
| Sec. 10.67.04.10. Special Needs Populations — Individuals with HIV/AIDS |
| Sec. 10.67.04.11. Special Needs Populations — Individuals in Need of Substance Abuse Treatment — Repealed |
| Sec. 10.67.04.12. Consumer Advisory Board |
| Sec. 10.67.04.13. Children in State-Supervised Care |
| Sec. 10.67.04.14. Referral to Behavioral Health ASO |
| Sec. 10.67.04.15. Data Collection and Reporting |
| Sec. 10.67.04.16. [Repealed] |
| Sec. 10.67.04.17. Subcontractual Relationships |
| Sec. 10.67.04.18. Third-Party Liability |
| Sec. 10.67.04.18-1. MCO Reimbursement — GME Exclusion |
| Sec. 10.67.04.19. MCO Reimbursement |
| Sec. 10.67.04.19-1. MCO-Specific Case Mix Adjustment for HIV and AIDS with Hepatitis C |
| Sec. 10.67.04.19-2. MCO Supplemental Payment for Transitional Encounter Data Adjustment |
| Sec. 10.67.04.19-3. MCO Rural Access Incentive |
| Sec. 10.67.04.19-4. MCO-Specific Case Mix Adjustment |
| Sec. 10.67.04.19-5. MCO Medical Loss Ratio |
| Sec. 10.67.04.20. MCO Payment for Self-Referred, Emergency, Physician, and Hospital Services |
| Sec. 10.67.04.21. Payments to Federally Qualified Health Centers (FQHC) |
| Sec. 10.67.04.22. Stop Loss Program |
| Sec. 10.67.04.23. Marketing |
| Sec. 10.67.04.24. [Repealed] |
| Sec. 10.67.04.25. Enrollee Outreach Plan |
| Sec. 10.67.04.26. Time Period for Termination of Provider Agreement |
| Sec. 10.67.04.27. Newborn Coordinator |
| Sec. 10.67.04.9999. Administrative History |