Regulation .01 Scope.

This chapter applies to a payor that:

(1)

Requires preauthorization for health care services; and

(2)

Is required to report to the Maryland Health Care Commission on its attainment and plans for attainment of certain preauthorization benchmarks.

This chapter does not apply to a pharmacy benefits manager that only provides services for:

(1)

Workers’ compensation claims pursuant to Labor and Employment Article, Title 9, Annotated Code of Maryland; or

(2)

Personal injury protection claims pursuant to Insurance Article, Title 19, Annotated Code of Maryland..