Code of Maryland Regulations
Title 31 - MARYLAND INSURANCE ADMINISTRATION
Subtitle 12 - HEALTH MAINTENANCE ORGANIZATIONS; ENTITIES THAT ACT AS HEALTH INSURERS
Chapter 31.12.06 - Managed Care Organizations - Financial Compliance Requirements
Section 31.12.06.01 - Definitions

Universal Citation: MD Code Reg 31.12.06.01

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

A. All terms defined in Health-General Article, Title 15, Subtitle 1, Annotated Code of Maryland, which are used in this chapter have the same meaning as in that statute unless the terms are defined differently in this chapter. In this chapter, the following terms have the meanings indicated.

B. Terms Defined.

(1) "Administration" means the Maryland Insurance Administration.

(2) "Applicant" means an organization applying to become a managed care organization.

(3) "Commissioner" means the Maryland Insurance Commissioner.

(4) "Contract" means the contractual agreement for the provision of health care services on a prepaid, capitated basis entered into between a managed care organization and the Department of Health and Mental Hygiene to provide health care benefits only to medical assistance program recipients.

(5) "Department" means the Department of Health and Mental Hygiene.

(6) "Leasehold estate improvements" means capital improvements made to properties leased for 20 or more years and depreciated over the remaining life of the lease.

(7) "Managed care organization (MCO)" means a managed care organization as defined in Health-General Article, §15-101(e)(2), Annotated Code of Maryland.

(8) "NAIC" means the National Association of Insurance Commissioners.

(9) "Secretary" means the Secretary of Health and Mental Hygiene.

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