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Ch. 123 2000 LAWS OF MARYLAND
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(F) "GRIEVANCE DECISION" MEANS A FINAL DETERMINATION BY A PRIVATE
REVIEW AGENT THAT ARISES FROM A GRIEVANCE FILED WITH THE PRIVATE REVIEW
AGENT UNDER ITS INTERNAL GRIEVANCE PROCESS REGARDING AN ADVERSE
DECISION CONCERNING A PATIENT.
[(e)] (G) "Health care facility" means:
(1) a hospital as defined in § 19-301 of the Health - General Article;
(2) a related institution as defined in § 19-301 of the Health - General
Article;
(3) an ambulatory surgical facility or center which is any entity or part
thereof that operates primarily for the purpose of providing surgical services to
patients not requiring hospitalization and seeks reimbursement from third party
payors as an ambulatory surgical facility or center;
(4) a facility that is organized primarily to help in the rehabilitation of
disabled individuals;
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(5) a home health agency as defined in § 19-401 of the Health - General
(6) a hospice as defined in § 19-901 of the Health - General Article;
(7) a facility that provides radiological or other diagnostic imagery
(8) a medical laboratory as defined in § 17-201 of the Health - General
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Article;
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services;
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Article; or
(9) an alcohol abuse and drug abuse treatment program as defined in §
8-403 of the Health - General Article.
(H) "HEALTH CARE PROVIDER" MEANS:
(1) AN INDIVIDUAL WHO:
(I) IS LICENSED OR OTHERWISE AUTHORIZED IN THE STATE TO
PROVIDE HEALTH CARE SERVICES IN THE ORDINARY COURSE OF BUSINESS OR
PRACTICE OF A PROFESSION; AND
(II) IS A TREATING PROVIDER OF A MEMBER PATIENT; OR
(2) A HOSPITAL, AS DEFINED IN § 19-301 OF THE HEALTH - GENERAL
ARTICLE.
[(f)] (I) "Health care service" means [any] A health or medical CARE
procedure or service rendered by a health care provider LICENSED OR AUTHORIZED
TO PROVIDE HEALTH CARE SERVICES that:
(1) provides testing, diagnosis, or treatment of a human disease or
dysfunction; or
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- 748 -
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