Md. Code, Health - General § 19–713.5

(a) If a health maintenance organization requires its subscribers to have a referral to receive consultation services in writing, the health maintenance organization shall use the uniform consultation referral form adopted by the Commissioner under § 15-120 of the Insurance Article as the sole instrument for referrals for consultation services.

(b) A health maintenance organization may not impose as a condition of coverage any requirement to:

(1) Modify the uniform consultation referral form; or

(2) Submit additional consultation referral forms.

(c) The uniform consultation referral form shall be properly completed by the health care provider referring the subscriber for consultation services.