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. 10.67.04.26. Time Period for Termination of Provider Agreement
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A. An MCO may terminate its provider agreement with the State as provided in §§B-D of this regulation.
B. The MCO shall provide written notification to the Department of the MCO's intent to terminate the MCO's provider agreement with the State for any given calendar year by the previous October 1.
C. An MCO that has previously terminated the provider agreement with the State and would like to sign a new agreement with the State, shall follow the application process as specified under COMAR 10.67.03.
D. The Department may waive the requirement under §B of this regulation if the Department determines that the circumstances warrant, including but not limited to a reduction in rates outside the normal rate setting process or an MCO exit from the program.