Md. Code Regs. 31.10.45.03
Current through Register Vol. 51, No. 24, December 2, 2024
Section 31.10.45.03 - Travel Distance StandardsA. Sufficiency Standards. (1) Using the zip code list on the Maryland Insurance Administration's website, each provider panel of a carrier shall have within the geographic area served by the carrier's network or networks, sufficient dentists, including specialty providers, and facilities to meet the maximum travel distance standards listed in the chart under §A(2) of this regulation for each type of geographic area measured from the enrollee's place of residence.(2) Chart of Travel Distance Standards. | Urban Area Maximum Distance (miles) | Suburban Area Maximum Distance (miles) | Rural Area Maximum Distance (miles) |
Provider type: | | | |
General dentist | 15 | 30 | 60 |
Endodontic | 30 | 45 | 75 |
Orthodontics and dentofacial orthopedics | 30 | 45 | 75 |
Oral and maxillofacial pathology | 30 | 45 | 75 |
Oral and maxillofacial radiology | 30 | 45 | 75 |
Oral and maxillofacial surgery | 30 | 45 | 75 |
Pediatric dentistry | 30 | 45 | 75 |
Periodontic | 30 | 45 | 75 |
Prosthodontics | 30 | 45 | 75 |
B. Each provider panel of a carrier shall include at least 20 percent of the available essential community providers who provide dental services in each of the urban, rural, and suburban areas.Md. Code Regs. 31.10.45.03
Regulation .03 adopted effective 44:25 Md. R. 1184, eff. 12/31/2017