Md. Code Regs. 31.10.12.02

Current through Register Vol. 51, No. 24, December 2, 2024

Section 31.10.12.02 - Definitions

A. In this chapter, the following terms have the meanings indicated.

B. Terms Defined.

(1) "Carrier" means:

(a) An insurer;

(b) A nonprofit health service plan;

(c) A health maintenance organization; or

(d) A dental plan organization.

(2) "Consultant/facility provider" means:

(a) A person licensed or certified under Health Occupations Article, Annotated Code of Maryland, who receives a referral from a primary or requesting provider; or

(b) Hospitals and related institutions that receive a referral from a primary or requesting provider.

(3) "Hospital" has the meaning stated in Health-General Article, §19-301, Annotated Code of Maryland.

(4) "Primary or requesting provider" means a person licensed or certified under the Health Occupations Article, Annotated Code of Maryland, who refers patients for consultation to a consultant/facility provider.

(5) "Related institution" has the meaning stated in Health-General Article, §19-301, Annotated Code of Maryland.

(6) "Uniform consultation referral form" means:

(a) For dentists referring patients for dental care procedures or services, the Maryland Uniform Dental Consultation Referral Form or its electronic equivalent shown in Regulation .08 of this chapter; or

(b) For all other health care professionals referring patients for health, medical, or dental care procedures or services, the Maryland Uniform Consultation Referral Form or its electronic equivalent shown in Regulation.06 of this chapter.

Md. Code Regs. 31.10.12.02

Regulation .02B amended effective January 1, 2005 (31:23 Md. R. 1655); January 13, 2011 (38:1 Md. R. 12)