<?xml version='1.0' encoding='utf-8'?>
<section article="gin" article_name="Insurance" number="15-1903" title_number="15" title_name="Health Insurance" subtitle_number="19" subtitle_name="Clinically Integrated Organizations">
  <text>Notwithstanding any other provision of this article or the Health – General Article, a carrier shall share medical information about a qualifying individual with a clinically integrated organization and its members if:</text>
  <level label="1">
    <text>the carrier has a written agreement with the clinically integrated organization specifying the type and proposed use of medical information to be shared;</text>
  </level>
  <level label="2">
    <text>the medical information is used by the clinically integrated organization to:</text>
    <level label="i">
      <text>promote the efficient, medically appropriate delivery of covered medical services to qualifying individuals;</text>
    </level>
    <level label="ii">
      <text>coordinate care, including efforts to coordinate, plan, develop, monitor, share information related to, and otherwise initiate a treatment plan for a qualifying individual;</text>
    </level>
    <level label="iii">
      <text>perform the functions of a medical review committee as described in § 1–401(c) of the Health Occupations Article; or</text>
    </level>
    <level label="iv">
      <text>offer or provide covered medical services or seek payment for or evaluate covered medical services provided by the members of the clinically integrated organization; and</text>
    </level>
  </level>
  <level label="3">
    <text>the clinically integrated organization or the carrier implements procedures for disclosing to qualifying individuals how the clinically integrated organization and the carrier share medical information to deliver more coordinated, higher quality care.</text>
  </level>
</section>
