Code of Maryland Regulations
Title 31 - MARYLAND INSURANCE ADMINISTRATION
Subtitle 10 - HEALTH INSURANCE-GENERAL
Chapter 31.10.45 - Dental Network Adequacy
Section 31.10.45.04 - Appointment Waking Time Standards
Universal Citation: MD Code Reg 31.10.45.04
Current through Register Vol. 51, No. 19, September 20, 2024
A. Sufficiency Standards.
(1) Subject to §B of this regulation, each carrier's provider panel shall meet the waiting time standards listed in §C of this regulation for at least 95 percent of the enrollees covered under dental plans that use that provider panel.
(2) When it is clinically appropriate and an enrollee elects to utilize a telehealth appointment, a carrier may consider that utilization as a part of its meeting the standards listed in §C of this regulation.
B. Preventive care services and periodic follow-up care may be scheduled in advance consistent with professionally recognized dental standards of practice as determined by the treating provider acting within the scope of the provider's license.
C. Chart of Waiting Time Standards.
|
First Available Appointment Waiting Time Standards |
|
|
Urgent care |
3 calendar days |
|
Routine dental services |
45 calendar days |
|
Nonurgent specialty care |
60 calendar days |
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