§ 19-701 Definitions
§ 19-702 Declaration of intent and policy
§ 19-703 Scope of subtitle
§ 19-704 Corporate practice of medicine
§ 19-705 Rules and regulations
§ 19-705.1 Standards of quality of care
§ 19-705.2 Complaints of members and subscribers
§ 19-705.3 Centers for Disease Control and Prevention’s guidelines on universal precautions
§ 19-705.4 Limitations on covered services and visits
§ 19-705.5 Coverage for inherited metabolic disease
§ 19-705.6 Emergency services
§ 19-705.7 Toll-free telephone access
§ 19-705.8 Health Maintenance Organization Quality Assurance Unit
§ 19-706 Regulation; applicability of other laws
§ 19-706.1 Rehabilitation or liquidation of health maintenance organizations
§ 19-707 Authorization to operate
§ 19-708 Applications for certificates to operate
§ 19-709 Initial fees
§ 19-710 Basic requirements to operate as a health maintenance organization
§ 19-710 v2 Basic requirements to operate as a health maintenance organization
§ 19-710.1 Payment to health care provider not under written contract
§ 19-710.2 Point-of-service option
§ 19-711 Issuance of certificate of authority; merger, consolidation, etc., with domestic health maintenance organization
§ 19-711.3 Merger, consolidation, or acquisition of health maintenance organization; financing money
§ 19-712 Powers and authority of health maintenance organization
§ 19-712.2 Notice to pharmacies of change in pharmaceutical benefits
§ 19-712.4 Prohibited referrals
§ 19-712.5 Reimbursement for hospital emergency facility and provider
§ 19-712.6 Continuing care facility
§ 19-712.7 Reimbursement to community health resources
§ 19-713 Rates and contracts
§ 19-713.1 Contracts between health maintenance organization and subscribers
§ 19-713.2 Administrative service provider contracts
§ 19-713.3 Administrative service contracting provider
§ 19-713.4 Providing pharmaceutical services
§ 19-713.5 Uniform consultation referral form
§ 19-713.6 Drug therapy management
§ 19-714 Marketing documents
§ 19-715 Application or offer of enrollment
§ 19-716 Availability of information to members and general public
§ 19-717 Annual reports
§ 19-719 Health care services; examination
§ 19-720 Health Services Cost Review Commission
§ 19-721 Expiration of certificate of authority
§ 19-722 Refusal to renew certificate; remedies
§ 19-723 Supervision of health maintenance organizations
§ 19-724 Solicitation of members
§ 19-725 Cancellation of enrollment
§ 19-726 Prohibited use of certain terms
§ 19-727 Applicability of tax laws
§ 19-728 Responsibilities of Department and Commissioner
§ 19-729 Prohibited acts; remedies
§ 19-730 Penalties – Violation of 19-729 of this subtitle
§ 19-731 Penalties – Violation of 19-705 and 19-705.1 of this subtitle
§ 19-732 Appeal
§ 19-734 Short title
§ 19-735 Foreign health maintenance organization transferring domicile to this State

Terms Used In Maryland Code > HEALTH - GENERAL > Title 19 > Subtitle 7 - Health Maintenance Organizations

  • Administrator: includes an executor and a personal representative. See
  • Adult: means an individual at least 18 years old. See
  • Allegation: something that someone says happened.
  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Appraisal: A determination of property value.
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Baseline: Projection of the receipts, outlays, and other budget amounts that would ensue in the future without any change in existing policy. Baseline projections are used to gauge the extent to which proposed legislation, if enacted into law, would alter current spending and revenue levels.
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Contract: A legal written agreement that becomes binding when signed.
  • 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.
  • County: means a county of the State or Baltimore City. See
  • Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • Escrow: Money given to a third party to be held for payment until certain conditions are met.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • Fraud: Intentional deception resulting in injury to another.
  • including: means includes or including by way of illustration and not by way of limitation. See
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC
  • Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
  • Litigation: A case, controversy, or lawsuit. Participants (plaintiffs and defendants) in lawsuits are called litigants.
  • Oversight: Committee review of the activities of a Federal agency or program.
  • 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
  • Power of attorney: A written instrument which authorizes one person to act as another's agent or attorney. The power of attorney may be for a definite, specific act, or it may be general in nature. The terms of the written power of attorney may specify when it will expire. If not, the power of attorney usually expires when the person granting it dies. Source: OCC
  • Probation: A sentencing alternative to imprisonment in which the court releases convicted defendants under supervision as long as certain conditions are observed.
  • Recourse: An arrangement in which a bank retains, in form or in substance, any credit risk directly or indirectly associated with an asset it has sold (in accordance with generally accepted accounting principles) that exceeds a pro rata share of the bank's claim on the asset. If a bank has no claim on an asset it has sold, then the retention of any credit risk is recourse. Source: FDIC
  • Restitution: The court-ordered payment of money by the defendant to the victim for damages caused by the criminal action.
  • Service of process: The service of writs or summonses to the appropriate party.
  • state: means :

    (1) a state, possession, territory, or commonwealth of the United States; or

    (2) the District of Columbia. See
  • veteran: includes , if the individual is eligible under 38 U. See