Maryland SB416 sets reimbursement rates for nonparticipating health care providers and outlines procedures for payments.

Maryland SB416 amends the Health Maintenance Organizations provisions to establish reimbursement rates for nonparticipating health care providers. It mandates that health maintenance organizations pay noncontracted providers at least 140% of the Medicare rate or the average rate paid to contracted providers, whichever is higher. The bill also requires health maintenance organizations to assign provider numbers to noncontracted trauma physicians and allows them to seek reimbursement from noncontracted providers.

Maryland SB416 sets reimbursement rates for nonparticipating health care providers and outlines procedures for payments.

Maryland SB416 amends the Health Maintenance Organizations provisions to establish reimbursement rates for nonparticipating health care providers. It mandates that health maintenance organizations pay noncontracted providers at least 140% of the Medicare rate or the average rate paid to contracted providers, whichever is higher. The bill also requires health maintenance organizations to assign provider numbers to noncontracted trauma physicians and allows them to seek reimbursement from noncontracted providers.