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<regulation prefix="Regulation" num=".07" citation="COMAR 10.67.03.07" title_num="10" subtitle_num="67" chapter_num="03" heading="Access and Capacity: Contracts and Provider Applications.">
  <text>An MCO applicant shall include in its application the following information or descriptions:</text>
  <paragraph num="A.">
    <text>A description of the applicant's hiring and subcontracting policies, which shall correspond to the requirements of Insurance Article, §15-112, Annotated Code of Maryland;</text>
  </paragraph>
  <paragraph num="B.">
    <text>A blank copy of the provider application form;</text>
  </paragraph>
  <paragraph num="C.">
    <text>Documentary assurances that the applicant and its health care providers furnish access on a nondiscriminatory basis, in accordance with State and federal law, to all of their enrollees regardless of gender, race, age, religion, national origin, physical or mental disability, or type of illness or condition;</text>
  </paragraph>
  <paragraph num="D.">
    <text>If the applicant is an HMO that will require its panel providers to participate in the MCO, documentation of the mechanism the MCO will use to make an equitable distribution of enrollees among its panel providers so that no provider is assigned a disproportionate number of enrollees;</text>
  </paragraph>
  <paragraph num="E.">
    <text>Written evidence of the applicant's organizational capacity to provide special programs adequate to meet the individual needs of all enrollees, including:</text>
    <paragraph num="(1)">
      <text>Outreach;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Case management;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Home visiting;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Disease management;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Prevention and wellness education; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>All Medicaid-covered services required to comply with State statutes and regulations mandating health and behavioral health services for children in State-supervised care;</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>A written explanation of the applicant's plan for ensuring that each primary and specialty care provider receives a copy of the MCO's Medicaid requirements manual, and any other information necessary to facilitate full compliance with all federal and State Medicaid requirements within 2 weeks after the provider has entered into a contract or has begun employment with the MCO, and updated as necessary thereafter; and</text>
  </paragraph>
  <paragraph num="G.">
    <text>A description of the applicant's plan to accommodate the cultural and ethnic diversity of the populations to be served.</text>
  </paragraph>
</regulation>