Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 1
Subtitle 07 - HOSPITALS
Chapter 10.07.11 - Health Maintenance Organizations
Section 10.07.11.12 - Inspections
Universal Citation: MD Code Reg 10.07.11.12
Current through Register Vol. 51, No. 19, September 20, 2024
A. HMO to Be Open for Inspection. An HMO shall be open to inspection by representatives of the Department and by any agency designated by the Department.
B. Frequency of Inspection.
(1) The Department shall inspect each HMO
periodically at reasonable times.
(2) The Department shall monitor continuously
the health care services of an HMO:
(a) From
the time of notice by the Commissioner that the HMO is not operating in a
fiscally sound manner; and
(b)
Until:
(i) The Commissioner notifies the
Department that the HMO is operating in a fiscally sound manner; and
(ii) The Secretary determines that further
continuous monitoring is not warranted.
C. Records and Reports. HMO's shall keep records and shall make reports as the Department shall prescribe. All records shall be open to inspection by representatives of the Department.
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