§ 19-7A-03. Licenses and requirements for providing services  


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  •    (a) License. --

       (1) Before an entity may operate as a provider-sponsored organization under the federal Medicare+Choice Program, the entity must obtain a license from the Commissioner.

       (2) The Commissioner shall issue a license under paragraph (1) of this subsection to any entity to operate as a provider-sponsored organization that meets the requirements of subsection (b) of this section.

    (b) Requirements for providing services. -- To operate as a provider-sponsored organization under the federal Medicare+Choice Program in this State, an entity shall:

       (1) Meet the definition of a provider-sponsored organization under § 19-7A-01 of this subtitle; and

       (2) Meet the requirements applicable to a health maintenance organization under Subtitle 7 of this title to the extent those requirements are not preempted by federal law.


HISTORY: 1998, ch. 213.