HOUSE BILL 1104

File Code: Public Health

Sponsored By:

Delegate Donoghue

Entitled:

Maryland Medical Assistance Program - Managed Care Organizations - Hospital Ancillary Services

Synopsis:

Requiring a managed care organization participating in the Maryland Medical Assistance Program to separately and independently determine the medical necessity of ancillary services provided during a hospitalization from the medical necessity of the hospitalization or part of the hospitalization; and prohibiting managed care organizations from basing the denial of payments for ancillary services provided during a hospitalization on a determination of the medical necessity of all or part of the hospitalization.

History by Legislative and Calendar Date

House Action

2/14

First Reading House Rules and Executive Nominations

2/26

Re-referred Health and Government Operations

3/7

Hearing 3/20 at 1:00 p.m.

Senate Action

No Action

Bill indexed under the following Subjects:

Health -see also- Mental Health

Hospitals -see also- Clinics; State Hospitals

Managed Care Organizations -see also- Health Maint Orgs

Medical Assistance

Bill affects the following Statutes:

Health - General

( 15-103 , 15-103 )

Documents:

Bill Text (Displayed in PDF Format): First Reading, Third Reading, Enrolled

Fiscal and Policy Note (Displayed in PDF Format): Available

Amendments: None offered