Md. Code, Ins. § 15-113. Compensation of health care practitioners: Health Insurance, General Provisions – Maryland

Status: Enacted
Year Enacted: 1997
Year Amended: 2018
File: Download

A carrier may not reimburse a health care practitioner in an amount less than the sum or rate negotiated in the carrier’s provider contract with the health care practitioner. This section does not prohibit a carrier from providing bonuses or other incentive-based compensation to a health care practitioners. A carrier that compensates health care practitioners wholly or partly on a capitated basis may not retain any capitated fee attributable to an enrollee or covered person during an enrollee’s or covered person’s contract year.

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