§ 15-115. Provider participation in managed care organizations

   (a) "Carrier" defined. --

   (1) In this section, "carrier" means:

      (i) an insurer;

      (ii) a nonprofit health service plan;

      (iii) a health maintenance organization;

      (iv) a dental plan organization; or

      (v) any other person that provides health benefit plans subject to regulation by the State.

   (2) "Carrier" includes an entity that arranges a provider panel for a carrier.

(b) Impairment of provider participation prohibited. -- A carrier that operates a managed care organization under Title 15, Subtitle 1 of the Health - General Article may not deny, limit, or otherwise impair the participation of a provider under contract with the carrier for choosing not to participate or limiting participation in the carrier's managed care organization if the carrier is in violation of § 15-102.5 of the Health - General Article.

HISTORY: An. Code 1957, art. 48A, § 490FF; 1997, ch. 35, § 2; ch. 70, § 7.