<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 31.10.16.03" title_num="31" subtitle_num="10" chapter_num="16" heading="Requirements for Application Process.">
  <paragraph num="A.">
    <text>A carrier that utilizes a provider panel shall establish written procedures for reviewing applications for participation in the provider panel.</text>
  </paragraph>
  <paragraph num="B.">
    <text>A carrier that utilizes a provider panel shall, upon request, make its applications publicly available.</text>
  </paragraph>
  <paragraph num="C.">
    <text>The form of application:</text>
    <paragraph num="(1)">
      <text>Shall include instructions for completion of the application;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Shall provide a specifically designated space for dating the receipt of the application by the carrier; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Shall comply with federal and State laws concerning the Americans with Disability Act.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>A carrier shall maintain an application log which, at a minimum, provides the following information:</text>
    <paragraph num="(1)">
      <text>Name of the provider requesting or submitting the application;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Date the provider requested an application, if applicable;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Date the application is sent or delivered to the provider, if applicable;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Date the application is received from the provider;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Date the application is returned to the provider with a request for additional information to complete the application, if applicable;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Date of receipt by the carrier of an application previously returned for additional information, if applicable;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Date that the provider is notified of:</text>
      <paragraph num="(a)">
        <text>Rejection, or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Carrier's intent to continue the credentialing process; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(8)">
      <text>Date after completion of credentialing that the provider is notified of acceptance or rejection in the provider panel.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>The log shall be available for inspection by the Commissioner.</text>
  </paragraph>
  <paragraph num="F.">
    <text>Notice.</text>
    <paragraph num="(1)">
      <text>A carrier shall:</text>
      <paragraph num="(a)">
        <text>If the carrier maintains a web site:</text>
        <paragraph num="(i)">
          <text>Post on the web site a notice of how to apply to the carrier's provider panel; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Provide, on request, a paper copy of the notice of how to apply to the carrier's provider panel; or</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>If the carrier does not maintain a web site, provide on request a paper copy of the notice of how to apply to the carrier's provider panel.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The notice required pursuant to §F(1) of this regulation shall include relevant addresses and telephone numbers for contact purposes.</text>
    </paragraph>
  </paragraph>
</regulation>