<?xml version='1.0' encoding='utf-8'?>
<baltimore-city-law heading="Subtitle 30 – Health Care Services Providers">
  <section prefix="§" num="30-1" heading="Definitions.">
    <para num="(a)" heading="In general.">For the purpose of this subtitle the following words have the meanings indicated unless their context clearly indicates otherwise.</para>
    <para num="(b)" heading="Carrier.">“Carrier” means:<para num="(1)">an insurer;</para>
      <para num="(2)">a network delivery system;</para>
      <para num="(3)">a nonprofit health service plan;</para>
      <para num="(4)">a health maintenance organization;</para>
      <para num="(5)">a preferred provider organization;</para>
      <para num="(6)">a dental plan organization; or</para>
      <para num="(7)">any person acting as a third party administrator.</para>
    </para>
    <para num="(c)" heading="Network delivery system.">“Network delivery system” means a person or entity that provides health care services to covered individuals through a provider panel.</para>
    <para num="(d)" />
    <para num="(e)" heading="Provider.">
      <para num="(1)">“Provider” means a person licensed, certified, or otherwise authorized under the &lt;cite data-doc="Md. Code" data-path="gho"&gt;Health Occupations Article of the Annotated Code of Maryland&lt;/cite&gt; to provide health care services in the ordinary course of business or practice of a profession.</para>
      <para num="(2)">“Provider” includes a health care facility, professional service corporation, partnership, limited liability company, professional office, or any other entity licensed or authorized by law to render professional services for or on behalf of a provider.</para>
    </para>
    <para num="(f)" heading="Provider panel.">“Provider panel” means a group of providers who have entered into a provider service contract with a carrier to provide services under the carrier’s health benefit plan.</para>
    <annotation type="Prior Codifications">City Code, 1976/83, art. 1, §27C(a)</annotation>
    <annotation type="History">Ord. 96-004</annotation>
    <annotation type="History">Ord. 22-125</annotation>
  </section>
  <section prefix="§" num="30-2" heading="Prequalification requirements.">
    <para num="(a)" heading="Prequalification criteria.">
      <para num="(1)">Any person who submits to the City a bid or who contracts with the City to be a health care carrier or to provide health care services to Baltimore City employees or persons receiving health care through any entity funded by the City must prequalify pursuant to &lt;cite data-doc="City of Baltimore, Md., Charter" data-path="VI"&gt;City Charter Article VI&lt;/cite&gt;, §11(g), and the rules, regulations, and standards adopted by the Board of Estimates.</para>
      <para num="(2)">The criteria for the prequalification of health care carriers shall include, but not be limited to:<para num="(i)">experience levels;</para>
        <para num="(ii)">financial history; and</para>
        <para num="(iii)">ethnic diversity of their respective provider panels.</para>
      </para>
    </para>
    <para num="(b)" heading="Same.">Each health care carrier interested in doing business with, or continuing to do business with the City of Baltimore in this regard shall apply for prequalification and be so prequalified.</para>
    <annotation type="Prior Codifications">City Code, 1976/83, art. 1, §27C(b)</annotation>
    <annotation type="History">Ord. 96-004</annotation>
    <annotation type="History">Ord. 16-503</annotation>
  </section>
  <section prefix="§" num="30-3" heading="Board of Estimates’ authority.">
    <text>Nothing in this subtitle shall be deemed to abrogate the authority of the Board of Estimates to award contracts pursuant to the authority provided by Article VI, §11 of &lt;cite data-doc="City of Baltimore, Md., Charter"&gt;the City Charter&lt;/cite&gt;&lt;em&gt;.&lt;/em&gt;</text>
    <annotation type="Prior Codifications">City Code, 1976/83, art. 1, §27C(c)</annotation>
    <annotation type="History">Ord. 96-004</annotation>
  </section>
</baltimore-city-law>
