Maryland HB737 sets reimbursement rates for nonparticipating health care providers in health maintenance organizations.
Maryland HB737 amends the Health Maintenance Organizations Act to establish reimbursement rates for nonparticipating health care providers. For evaluation and management services, health maintenance organizations must pay at least 140% of the Medicare rate. For other services, they must pay at least 125% of the average rate paid to similarly licensed providers. The Maryland Health Care Commission reviews compliance annually, and the Maryland Insurance Administration can enforce the provisions.
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