Maryland Code, HEALTH – GENERAL 19-7A-01
Terms Used In Maryland Code, HEALTH - GENERAL 19-7A-01
- Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
- including: means includes or including by way of illustration and not by way of limitation. See
- Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
- Person: includes an individual, receiver, trustee, guardian, personal representative, fiduciary, representative of any kind, corporation, partnership, business trust, statutory trust, limited liability company, firm, association, or other nongovernmental entity. See
- state: means :
(1) a state, possession, territory, or commonwealth of the United States; or
(2) the District of Columbia. See
(b) “Commissioner” means the Maryland Insurance Commissioner.
(c) “Health care services” means a health or medical care procedure or service rendered by a health care provider that:
(1) Provides testing, diagnosis, or treatment of a human disease or dysfunction; or
(2) Dispenses drugs, medical devices, medical appliances, or medical goods for the treatment of a human disease or dysfunction.
(d) “License” includes a certificate of authority, as defined in § 1-101 of the Insurance Article.
(e) “Provider” means any person, including a physician or hospital, that is licensed or otherwise authorized in this State to provide health care services.
(f) “Provider-sponsored organization” means an entity that:
(1) Is a legal aggregation of providers operating collectively for the purpose of providing health care services to Medicare beneficiaries under the federal Medicare+Choice Program;
(2) Acts through a licensed entity, such as a partnership, corporation, limited liability company, limited liability partnership, or sole proprietorship, that has authority over the entity’s activities and responsibility for satisfying the requirements of § 19-7A-02 of this subtitle; and
(3) Provides a substantial proportion of the health care services required to be provided under the federal Medicare+Choice Program directly through providers or affiliated groups of providers.