Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.24 - Medical Assistance Eligibility
Section 10.09.24.17 - Information from and Liability of Health Insurance Carriers
Universal Citation: MD Code Reg 10.09.24.17
Current through Register Vol. 51, No. 19, September 20, 2024
A. A carrier shall:
(1) Provide, at the request of the
Department, information about individuals who are eligible for benefits under
the Program or are Program recipients so that the Department may determine:
(a) Whether an individual, the spouse of an
individual, or the dependent of an individual is receiving health care coverage
from a carrier; and
(b) The nature
of that coverage;
(2)
Provide the information required under §A of this regulation in a manner
prescribed by the Department; and
(3) Accept the Program's right of recovery
and the assignment to the Program of any right of an individual or other entity
to payment from the carrier for an item or service for which payment has been
made under the Program if the carrier has a legal obligation to make payment
for the item or service.
B. Subject to §A of this regulation, a carrier may not reject, deny, limit, cancel, refuse to renew, increase the rates of, affect the terms or conditions of, or otherwise affect a health insurance policy or contract for a reason based wholly or partly on the:
(1) Eligibility of the individual for
receiving benefits under the Program; or
(2) Receipt by an individual of benefits
under the Program.
C. A carrier shall comply with the provisions of Health-General Article, §15-144, Annotated Code of Maryland, pertaining to health maintenance organizations.
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