Maryland Insurance Administration

 Pharmacy Benefit Manager Regulation Information

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2019 Meeting Schedule

 
NEXT MEETING:


Tuesday, November 19, 2019 2 PM - 4 PM
AGENDA

Call in info:
Dial: 1-331-218-0807
PIN: 911 540 649#

Location: 

Maryland Insurance Administration
24th Floor Hearing Room
200 St. Paul Place
Baltimore, MD 21202
 
Scheduled Meetings:

tba  
 
 
Previous Meetings:
 
October 15, 2019 10 AM - Noon
AGENDA
 
August 13, 2019 10AM - Noon
AGENDA
 
July 9, 2019
2-4PM
AGENDA
 
  1. Draft PBM Regulations
  2. Participating Pharmacy Contract Filing Instructions
  3. Participating Pharmacy Contract Checklist
As requested during the July 9, 2019 meeting of the Pharmacy Benefit Manager Group, the Maryland Insurance Administration is circulating the existing regulations that govern the filing of amendments to HMO provider contracts.  See COMAR 31.12.02.13C(4).  This is intended to provide context for the discussion over what types of changes to participating pharmacy contracts should require 30-working day advance notice to the pharmacy, and what types of changes should require filing with the Commissioner 30 days prior to becoming effective.
​HMO Provider Contract Regulation (new - added 7/12/19)
 
June 11, 2019
2PM - 4PM
 
 

Hearing Testimony and Stakeholder Submitted Information

Resources From Other States

Outside Reports and Studies

  ​Coming Soon

Draft Regulations

  ​​The Maryland Insurance Administration is seeking comment on the following draft proposed regulations prior to publication in the Maryland Register. Comments may be sent through August 9, 2019:

   Director of Regulatory Affairs
   The Maryland Insurance Administration
   200 St. Paul Place, Suite 2700
   Baltimore, Maryland 21202
 
Comments also may be submitted by calling 410-468-2007, emailing InsuranceRegReview.mia@maryland.gov, or by faxing to 410-468-2020.
  • Title 31 Maryland Insurance Administration
    Subtitle 10 Health Insurance - General
    Chapter 46 Pharmacy Benefits Manager - Maximum Allowable Cost
    Chapter 47 Cost Pricing and Reimbursement other than MAC
    Chapter 48 Filing of Contracts and Amendments
    View the Draft Regulation: 31.10.46.47.48
    View comments submitted by PCMA October 14, 2019.
    Comments close October 14, 2019
  • Title 31 Maryalnd Insurance Administration
    Subtitle 10 Health Insurance - General
    Chapter 46 Pharmacy Benefits Managers - Maximum Allowable Cost
    Chapter 47 Cost Pricing and Reimbursement other than MAC
    Chapter 48 Filing of Contracts and Amendments
    View the Draft Regulation: 31.10.46.47.48
    View comments submitted by URAC August 7, 2019.
    View comments submitted by PCMA August 9, 2019.

Maryland Insurance Administration MAC Complaint Form

Proposed Regulations

  ​Coming Soon

Final Regulations

  ​Coming Soon
Maryland Insurance Administration
200 St. Paul Place
Suite 2700
Baltimore, MD 21202
410-468-2000
1-800-492-6116 (toll free)
1-800-735-2258 (TTY)