Section 19-7 - A-01. Definitions.
§ 19-7A-01. Definitions.
(a) In general.- In this subtitle the following words have the meanings indicated.
(b) Commissioner.- "Commissioner" means the Maryland Insurance Commissioner.
(c) Health care services.- "Health care services" means a health or medical care procedure or service rendered by a health care provider that:
(1) Provides testing, diagnosis, or treatment of a human disease or dysfunction; or
(2) Dispenses drugs, medical devices, medical appliances, or medical goods for the treatment of a human disease or dysfunction.
(d) License.- "License" includes a certificate of authority, as defined in § 1-101 of the Insurance Article.
(e) Provider.- "Provider" means any person, including a physician or hospital, that is licensed or otherwise authorized in this State to provide health care services.
(f) Provider-sponsored organization.- "Provider-sponsored organization" means an entity that:
(1) Is a legal aggregation of providers operating collectively for the purpose of providing health care services to Medicare beneficiaries under the federal Medicare+Choice Program;
(2) Acts through a licensed entity, such as a partnership, corporation, limited liability company, limited liability partnership, or sole proprietorship, that has authority over the entity's activities and responsibility for satisfying the requirements of § 19-7A-02 of this subtitle; and
(3) Provides a substantial proportion of the health care services required to be provided under the federal Medicare+Choice Program directly through providers or affiliated groups of providers.
[1998, ch. 213.]