# COMAR Title 10 — Maryland Department of Health

## Subtitle 25 — Maryland Health Care Commission

### Chapter 17 — Benchmarks for Preauthorization of Health Care Services

#### Regulation .01 Scope.

*COMAR 10.25.17.01*

A. 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.

B. 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..