# MD Insurance Bulletin 00-04: Rescission of MIA position as stated in Wickenden Letter

> Maryland · Agency guidance · In force

URL: https://www.frixlaw.com/law-library/statutes/MD_INS_B_00-04

## Section

- **Citation:** MD Insurance Bulletin 00-04
- **Heading:** Rescission of MIA position as stated in Wickenden Letter
- **Jurisdiction:** Maryland
- **Kind:** Agency guidance
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Maryland Insurance Administration Bulletins / Rescission of MIA position as stated in Wickenden Letter

## Text

BULLETIN
TO:
Health Maintenance Organizations
RE:
Rescission of MIA position as stated in Wickenden Letter
Methodology for payment of usual, customary, and reasonable rates
to noncontracting providers
DATE:
February 23, 2000
BULLETIN NO:
Life and Health 00-4
Section 19-710.1 of the Health-General Article, enacted in 1991, requires a health maintenance
organization to pay hospitals at the rate approved by the Health Service Cost Review
Commission and any other health care provider who is not under written contract at the usual,
customary, and reasonable rate. The law further requires disclosure of the methodology used to
determine the amount of payment at the usual, customary, and reasonable rate to the health care
provider on request of the health care provider.
Chapter 121 of the Acts of the General Assembly of 1991, which codified §19-710.1, did not
authorize the Commissioner to approve a usual, customary, and reasonable rate prior to its use, or
require any methodology to be filed with the Insurance Administration.
Therefore, the Maryland Insurance Administration rescinds its letter of August 20, 1991, signed
by former Associate Commissioner Philip L. Wickenden, which requires each health
maintenance organization to file its methodology for determination of UCR, and prohibits use of
any methodology prior to approval.

___________________
Donna B. Imhoff
Associate Commissioner

## Nearby sections

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- [MD Insurance Bulletin 00-03 Revision to Regulation--Limitation on Implementing Rate Increases](https://www.frixlaw.com/law-library/statutes/MD_INS_B_00-03.md)
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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/MD_INS_B_00-04. Check the current official text before relying on it. Not legal advice.