Source: https://codes.findlaw.com/md/health-general/md-code-health-gen-sect-19-108-2.html
Timestamp: 2019-04-21 14:06:04+00:00

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(2) “Health care service” has the meaning stated in § 15-10A-01 of the Insurance Article .
(iii) A pharmacy benefits manager that is registered with the Maryland Insurance Commissioner.
(4) “Provider” has the meaning stated in § 19-7A-01 of this title.
(5) “Step therapy or fail-first protocol” has the meaning stated in § 15-142 of the Insurance Article .
(2) Overriding a payor's step therapy or fail-first protocol.
(ii) If a national transaction standard has been established and adopted by the health care industry, as determined by the Commission, the provider's practice management, electronic health record, or e-prescribing system.
(d) The benchmarks described in subsections (b) and (c) of this section do not apply to preauthorizations of health care services requested by providers employed by a group model health maintenance organization as defined in § 19-713.6 of this title.
(2) Provide notice to providers, within the time frames specified in subsection (c)(3)(ii) and (iii) of this section and in a manner that is able to be tracked by providers, about preauthorization requests not approved in real time.
(f)(1) The Commission shall establish by regulation a process through which a payor or provider may be waived from attaining the benchmarks described in subsections (b) and (c) of this section for extenuating circumstances.
(iii) Not making medical referrals or prescribing pharmaceuticals.
(ii) For a group model health maintenance organization, as defined in § 19-713.6 of this title, preauthorizations of health care services requested by providers not employed by the group model health maintenance organization.
(g)(1) On or before October 1, 2012, the Commission shall reconvene the multistakeholder workgroup whose collaboration resulted in the 2011 report “Recommendations for Implementing Electronic Prior Authorizations”.
(ii) Make recommendations to the Commission for adjustments to the benchmark dates.
(h) On or before December 31, 2013, and on or before December 31 in each succeeding year through 2016, the Commission shall report to the Governor and, in accordance with § 2-1246 of the State Government Article , the General Assembly on the attainment of the benchmarks for standardizing and automating the process required by payors for preauthorizing health care services.
(3) Establish penalties for noncompliance.

References: § 15
 § 19
 § 15
 § 19
 § 19
 § 2