Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.57 - Partially Capitated Programs
Section 10.09.57.11 - Subcontracts

Universal Citation: MD Code Reg 10.09.57.11

Current through Register Vol. 51, No. 19, September 20, 2024

A. The PCP shall ensure that the following provisions are contained in all subcontracts:

(1) A description of the services to be provided by the subcontractor;

(2) A description of other activities to be performed by the subcontractor;

(3) Providing for release to the PCP of any information necessary for the PCP to perform any of its obligations under its contract with the Department, including but not limited to compliance with the reporting and quality assurance requirements of this chapter;

(4) That the facilities and records of the subcontractor shall be open to inspection by the PCP and the Department and that medical records or copies of medical records will be transferred to the PCP upon request upon termination of the subcontractor;

(5) That a termination of the subcontract may not be effective without 30 days prior written notice to the Department;

(6) That the subcontractor shall look solely to the PCP for compensation for services provided to recipients;

(7) The subcontractor shall cooperate with the PCP in implementing the PCP's quality assurance program; and

(8) Such other provisions as the Department may reasonably require, taking into consideration the nature of the services to be provided and the requirements of this contract.

B. The Department shall preapprove subcontracts.

C. A subcontract may not alter or negate the PCP's legal responsibility to the Department under the PCP's provider agreement and this chapter.

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