Md. Code, Health-Gen. § 19-712.5. Reimbursement for emergency services: Health Maintenance Organizations – Maryland

Status: Enacted
Year Enacted: 1996
Year Amended: 2011
File: Download

health maintenance organization shall reimburse a hospital emergency facility and provider, less any applicable co-payments, for medically necessary services provided to a member or subscriber of the health maintenance organization if the health maintenance organization authorized, directed, referred, or otherwise allowed the member or subscriber to use the emergency facility and the medically necessary services are related to the condition for which the member was allowed to use the emergency facility.

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