Code of Maryland Regulations
Title 14 - INDEPENDENT AGENCIES
Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE
Chapter 14.35.16 - Plan Certification Standards
Section 14.35.16.06 - Qualified Health Plan Certification-Provider Directories Specific to Individual Exchange
Universal Citation: MD Code Reg 14.35.16.06
Current through Register Vol. 51, No. 6, March 22, 2024
A. An authorized carrier shall submit to the Individual Exchange the health benefit plan's provider directory information for each QHP's network.
B. Provider directory data shall include the requirements specified in Insurance Article, § 15-112(n)(3), Annotated Code of Maryland, as well as be current, accurate, and complete.
C. Provider directory data may include:
(1) Program and community health center names;
(2) Providers' affiliations with certain facilities, programs, and centers; and
(3) Any other information that may assist consumers in searching for specific programs or centers by name.
D. Updated provider directory data requested in §B of this regulation shall be submitted in the format required by the Individual Exchange at least once every 15 calendar days.
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