<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 31.10.34.04" title_num="31" subtitle_num="10" chapter_num="34" heading="Provider Panel Sufficiency.">
  <paragraph num="A.">
    <text>A carrier shall maintain a provider panel that is sufficient in numbers and types of available providers to meet the health care needs of enrollees.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Standards to meet the health care needs of enrollees shall be determined in accordance with the requirements of this chapter, and may be established by reference to any reasonable criteria used by the carrier, including but not limited to:</text>
    <paragraph num="(1)">
      <text>Provider-enrollee ratios by specialty;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Primary care provider-enrollee ratios;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Geographic accessibility;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Waiting times for appointments with providers;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Hours of operation; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>The volume of technological and specialty services available to serve the needs of enrollees requiring technologically advanced or specialty care.</text>
    </paragraph>
  </paragraph>
</regulation>