Code of Maryland Regulations
Title 31 - MARYLAND INSURANCE ADMINISTRATION
Subtitle 10 - HEALTH INSURANCE-GENERAL
Chapter 31.10.12 - Uniform Consultation Referral
Section 31.10.12.03 - Uniform Consultation Referral Form - Carrier Requirements

Universal Citation: MD Code Reg 31.10.12.03

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

A. If a carrier requires a covered person to have a written referral in order to receive services, the carrier shall use the uniform consultation referral form as defined in Regulation .02B(6) of this chapter.

B. The carrier may not impose as a condition of coverage a requirement to:

(1) Modify the uniform consultation referral form, except as provided in E of this regulation; or

(2) Submit additional consultation referral forms.

C. The carrier may provide a separate set of instructions for properly completing the Uniform Consultation Referral Form.

D. For the uniform consultation referral form, the carrier's specific instructions:

(1) If applicable, may be preprinted on the back of the uniform consultation referral form, if the instructions do not result in any modifications in the format of, or information categories directed to be supplied on the front of, the uniform consultation referral form; and

(2) Shall be made available to primary or requesting providers on the carrier's website.

E. Notwithstanding the provisions of §B of this regulation, the carrier may provide stamps or preprinted stickers to include additional information to the carrier information block on the uniform consultation referral form.

F. The carrier may preprint the designated carrier information in the carrier information field on the Maryland uniform consultation referral form.

Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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