<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".01" citation="COMAR 10.25.17.01" title_num="10" subtitle_num="25" chapter_num="17" heading="Scope.">
  <paragraph num="A.">
    <text>This chapter applies to a payor that:</text>
    <paragraph num="(1)">
      <text>Requires preauthorization for health care services; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Is required to report to the Maryland Health Care Commission on its attainment and plans for attainment of certain preauthorization benchmarks.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>This chapter does not apply to a pharmacy benefits manager that only provides services for:</text>
    <paragraph num="(1)">
      <text>Workers’ compensation claims pursuant to Labor and Employment Article, Title 9, Annotated Code of Maryland; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Personal injury protection claims pursuant to Insurance Article, Title 19, Annotated Code of Maryland..</text>
    </paragraph>
  </paragraph>
</regulation>