<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".12" citation="COMAR 10.07.11.12" title_num="10" subtitle_num="07" chapter_num="11" heading="Inspections.">
  <paragraph num="A.">
    <text>HMO to Be Open for Inspection. An HMO shall be open to inspection by representatives of the Department and by any agency designated by the Department.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Frequency of Inspection.</text>
    <paragraph num="(1)">
      <text>The Department shall inspect each HMO periodically at reasonable times.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The Department shall monitor continuously the health care services of an HMO:</text>
      <paragraph num="(a)">
        <text>From the time of notice by the Commissioner that the HMO is not operating in a fiscally sound manner; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Until:</text>
        <paragraph num="(i)">
          <text>The Commissioner notifies the Department that the HMO is operating in a fiscally sound manner; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The Secretary determines that further continuous monitoring is not warranted.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Records and Reports. HMO's shall keep records and shall make reports as the Department shall prescribe. All records shall be open to inspection by representatives of the Department.</text>
  </paragraph>
</regulation>