<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 31.10.21.03" title_num="31" subtitle_num="10" chapter_num="21" heading="Specific Criteria and Standards.">
  <paragraph num="A.">
    <text>Required Copies. Upon the written request of a person or health care facility, a private review  agent shall provide one copy of the specific criteria and standards to be used in conducting utilization review of proposed or delivered services and any subsequent revisions or modifications to the specific criteria and standards.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Fee for Copy. A private review agent shall:</text>
    <paragraph num="(1)">
      <text>Make available a copy of specific criteria and standards used in conducting utilization review of proposed or delivered services for inspection on the premises during normal business hours;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Provide a copy of the specific criteria and standards to a person or health care facility upon request at a reasonable fee determined by the private review agent; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Provide a copy of the specific criteria and standards upon request to a State agency at no charge to the agency.</text>
    </paragraph>
  </paragraph>
</regulation>