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<regulation prefix="Regulation" num=".03" citation="COMAR 31.10.26.03" title_num="31" subtitle_num="10" chapter_num="26" heading="Uniform Credentialing Form — Carrier and Credentialing Intermediary Requirements.">
  <paragraph num="A.">
    <text>A carrier or its credentialing intermediary shall:</text>
    <paragraph num="(1)">
      <text>Accept the uniform credentialing form as the sole application for a health care provider to become credentialed or recredentialed for a provider panel of the carrier; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Make the uniform credentialing form available to any health care provider that is to be credentialed or recredentialed by the carrier or credentialing intermediary.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A carrier may not, for purposes of credentialing or recredentialing, require a health care provider to:</text>
    <paragraph num="(1)">
      <text>Modify the uniform credentialing form;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Submit additional credentialing forms;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Use any other credentialing form not designated by the Commissioner; or</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Submit any additional information not specified by the uniform credentialing form, except as stated in §F of this regulation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A carrier may preprint the designated carrier information on the uniform credentialing form.</text>
  </paragraph>
  <paragraph num="D.">
    <text>A carrier may not deny a uniform credentialing form because the form does not include the designated carrier information of the carrier.</text>
  </paragraph>
  <paragraph num="E.">
    <text>A carrier may require a health care provider to submit a new Authorization to Release Information and Affirmation page, with an original signature and date, for the purpose of credentialing or recredentialing.</text>
  </paragraph>
  <paragraph num="F.">
    <text>A carrier that is a managed care organization may require a provider to make the disclosure required by 42 CFR §1002.3.</text>
  </paragraph>
</regulation>