reglab/housing_qa huggingface dataset:
MD. Health - General Code Ann. §  15-107 (2021)
2021 Maryland Statutes|Health - General|Title 15 - Assistance Programs|Subtitle 1 - Medical and Pharmacy Assistance Programs|Section 15-107 - Cost Reports of Program Participants

    (a)    The Department may require facilities that participate in the Program to submit cost reports, as defined by the Department, within the time set by the Department.    (b)    If a report is not submitted within that time, the Department shall withhold from the facility up to 10 percent of current interim payments for the calendar month in which the report is due and any later calendar months until the report is submitted.
MD. Health - General Code Ann. §  15-109.1 (2021)
2021 Maryland Statutes|Health - General|Title 15 - Assistance Programs|Subtitle 1 - Medical and Pharmacy Assistance Programs|Section 15-109.1 - Plan for Dissemination of Advance Directive Information

    (a)    The Department, in consultation with the Office of the Attorney General, shall:        (1)    Develop and implement a plan for making the advance directive information sheet developed under § 5–615 of this article widely available; and        (2)    Make the information sheet described in item (1) of this subsection available in a conspicuous location in each local health department, in each local department of social services, and in community health centers.    (b)    The Department shall implement the plan on or before January 1, 2017.    (c)    During the development of the plan under subsection (a) of this section and the information sheet under § 5–615 of this article, the Office of the Attorney General shall consult with any interested party including the State Advisory Council on Quality Care at the End of Life.    (d)    The Department shall offer:        (1)    The information sheet developed under § 5–615 of this article as part of the monthly enrollment packet mailed to a recipient by the enrollment broker; and        (2)    The use of electronic advance directives to a recipient through an advance directives service that:            (i)    Is approved by the Maryland Health Care Commission and the Department; and            (ii)    Meets the technology, security, and privacy standards established by the Maryland Health Care Commission.
MD. Health - General Code Ann. §  15-109.2 (2021)
2021 Maryland Statutes|Health - General|Title 15 - Assistance Programs|Subtitle 1 - Medical and Pharmacy Assistance Programs|Section 15-109.2 - Benefits and Services for Incarcerated or Institutionalized Individuals.

    ** CONTINGENCY – NOT IN EFFECT – CHAPTER 82 OF 2005 **    To the extent authorized by federal law or regulation, if a Program recipient who is at least 21 years old but is under the age of 65 years is incarcerated or is admitted to an institution for the treatment of mental disease, the Department:        (1)    Shall suspend Program benefits for that individual while the individual is incarcerated or is in the institution; and        (2)    May not terminate Program benefits for that individual based on the incarceration of the individual or on the admission of the individual to the institution.
MD. Health - General Code Ann. §  15-110 (2021)
2021 Maryland Statutes|Health - General|Title 15 - Assistance Programs|Subtitle 1 - Medical and Pharmacy Assistance Programs|Section 15-110 - Reimbursement -- Acute General and Chronic Care Hospitals

    The Department shall reimburse acute general and chronic care hospitals that participate in the Program for care provided to Program recipients in accordance with rates that the Health Services Cost Review Commission approves under Title 19, Subtitle 2 of this article, if the United States Department of Health and Human Services approves this method of reimbursement.
MD. Health - General Code Ann. §  15-111 (2021)
2021 Maryland Statutes|Health - General|Title 15 - Assistance Programs|Subtitle 1 - Medical and Pharmacy Assistance Programs|Section 15-111 - Reimbursement -- Day Care for the Elderly and Medically Handicapped Adults

    (a)    The Department may authorize reimbursement of a licensed day care center for the elderly or medically handicapped adults for medical care that the center provides to a Program recipient who is certified as requiring nursing home care.    (b)    (1)    Reimbursement under this section is subject to the availability of federal funds.        (2)    The reimbursement rate for medical day care:            (i)    May not exceed a maximum per diem rate established by regulation of the Department; and            (ii)    Shall cover the following:                1.    Administrative overhead;                2.    Drugs, supplies, and equipment;                3.    Food;                4.    Medical services;                5.    Staff; and                6.    Transportation.
MD. Health - General Code Ann. §  15-112 (2021)
2021 Maryland Statutes|Health - General|Title 15 - Assistance Programs|Subtitle 1 - Medical and Pharmacy Assistance Programs|Section 15-112 - Reimbursement -- Physicians

    After consultation with the State Board of Pharmacy, the Secretary may authorize reimbursement of a physician for the dispensing of drugs to Program recipients, on the same basis as a licensed pharmacist if:         (1)    The physician dispenses drugs on a regular basis in the physician’s office; and        (2)    There is no pharmacy within 10 miles of that office.
MD. Health - General Code Ann. §  15-113 (2021)
2021 Maryland Statutes|Health - General|Title 15 - Assistance Programs|Subtitle 1 - Medical and Pharmacy Assistance Programs|Section 15-113 - Reimbursement -- Public Institutions

    (a)    In this section, “inmate of a public institution” has the meaning stated in Title 42, § 435.1009 of the Code of Federal Regulations (1978 edition).    (b)    (1)    If an inmate of a public institution is eligible for federally funded Medicaid benefits, the Department shall pay the custodial authority for any medical care that is provided to the inmate during the month when the individual became an inmate.        (2)    Payments under this subsection shall be made in accordance with applicable rules and regulations for the Program.    (c)    The Department shall be reimbursed for the nonfederal cost of medical care by either the State or local authority that is responsible for the inmate of a public institution.
MD. Health - General Code Ann. §  15-114.1 (2021)
2021 Maryland Statutes|Health - General|Title 15 - Assistance Programs|Subtitle 1 - Medical and Pharmacy Assistance Programs|Section 15-114.1 - Emergency Service Transporters

    (a)    In this section, “emergency service transporter” means a public entity or volunteer fire, rescue, or emergency medical service that provides emergency medical services.    (b)    If an emergency service transporter charges for its services and requests reimbursement from the Program, the Department shall reimburse the emergency service transporter, in an amount as specified by regulations adopted by the Department, for the cost of:        (1)    Transportation the emergency service transporter provides to a Program recipient to a facility in response to a 911 call; and        (2)    Medical services the emergency service transporter provides to the Program recipient while transporting the Program recipient to a facility in response to a 911 call.    (c)    The Department shall adopt any regulations necessary to carry out this section.
MD. Health - General Code Ann. §  15-115 (2021)
2021 Maryland Statutes|Health - General|Title 15 - Assistance Programs|Subtitle 1 - Medical and Pharmacy Assistance Programs|Section 15-115 - Placement in Skilled or Intermediate Nursing Facility

    (a)    The Department may not place a Program recipient in a skilled or intermediate nursing facility if, because of the condition of the Program recipient, the placement would cause undue risk to the Program recipient.    (b)    To provide a basis for evaluating the placement of Program recipients who need skilled or intermediate nursing care in skilled or intermediate nursing facilities, a Program recipient may be placed only in a nursing facility that has a transfer agreement with a general hospital.
MD. Health - General Code Ann. §  15-116 (2021)
2021 Maryland Statutes|Health - General|Title 15 - Assistance Programs|Subtitle 1 - Medical and Pharmacy Assistance Programs|Section 15-116 - Reimbursement -- Skilled Nursing Facilities

    The Department shall reimburse skilled nursing facilities for services provided to indigent or medically indigent patients under the age of 21 years.
MD. Health - General Code Ann. §  15-117 (2021)
2021 Maryland Statutes|Health - General|Title 15 - Assistance Programs|Subtitle 1 - Medical and Pharmacy Assistance Programs|Section 15-117 - Reimbursement -- Reserved Beds

    (a)    In this section, “leave of absence” includes:        (1)    A visit with friends or relatives; and        (2)    A leave to participate in a State approved therapeutic or rehabilitative program.    (b)    To ensure that a bed is reserved for a Program recipient who is on leave of absence from a nursing facility that has made a provider agreement with the Department, the facility shall receive payment for each day that the Program recipient is absent and a bed is reserved and made available for the return of that Program recipient.    (c)    (1)    Payments under subsection (b) of this section may not be made for more than 18 days in any calendar year.        (2)    Notwithstanding any rule or regulation, a leave of absence is not subject to any requirement that it may not exceed a particular number of days a visit, except that the leave of absence may not exceed a total of 18 days during any calendar year.    (d)    Payments required under this section:        (1)    Shall be made according to the per diem payment procedures that the Department sets; and        (2)    May not include payment for nursing services.    (e)    A nursing facility may not make additional charges against a Program recipient because the Program recipient is absent temporarily from the nursing facility.
MD. Health - General Code Ann. §  15-118 (2021)
2021 Maryland Statutes|Health - General|Title 15 - Assistance Programs|Subtitle 1 - Medical and Pharmacy Assistance Programs|Section 15-118 - Drugs

    (a)    (1)    Unless the prescriber directs otherwise on the form or on an attached signed certification of need, the generic form of the drug authorized under § 12-504 of the Health Occupations Article shall be used to fill the prescription.        (2)    If the appropriate generic drug is not generally available, the Department may waive the requirement for generic substitution under paragraph (1) of this subsection.    (b)    (1)    Except as provided under paragraph (2) of this subsection, the Program shall establish maximum reimbursement levels for the drug products for which there is a generic equivalent authorized under § 12-504 of the Health Occupations Article, based on the cost of the generic product.        (2)    If a prescriber directs a specific brand name drug, the reimbursement level shall be based on the cost of the brand name product.    (c)    (1)    Except as provided under paragraph (4) of this subsection and unless the change is made by an emergency regulation, the Program shall notify all pharmacies under contract with the Program in writing of changes in the Pharmaceutical Benefit Program rules or requirements at least 30 days before the change is effective.        (2)    Changes that require 30 days’ advance written notice under paragraph (1) of this subsection are:            (i)    Exclusion of coverage for classes of drugs as specified by contract;            (ii)    Changes in prior or preauthorization procedures; and            (iii)    Selection of new prescription claims processors.        (3)    If the Program fails to provide advance notice as required under paragraph (1) of this subsection, it shall honor and pay in full any claim under the Program rules or requirements that existed before the change for 30 days after the postmarked date of the notice.        (4)    Notwithstanding any other provision of law, the notice requirements of this subsection do not apply to the addition of new generic drugs authorized under § 12-504 of the Health Occupations Article.    (d)    The Secretary shall adopt regulations to carry out the provisions of this section.    (e)    Except for a prescription for a prescription drug that contains a substance listed in Schedule II or that is determined by the Secretary to present an emerging threat in the State because of increasing abuse or diversion, the provisions of § 21-220(b)(1) of this article shall apply to the Program.
MD. Health - General Code Ann. §  15-118.1 (2021)
2021 Maryland Statutes|Health - General|Title 15 - Assistance Programs|Subtitle 1 - Medical and Pharmacy Assistance Programs|Section 15-118.1 - Certain Prescribed Drugs Not Specialty Drugs

    The Secretary may not consider drugs prescribed to treat diabetes, HIV, or AIDS to be specialty drugs for the purpose of providing services under the Program.
MD. Health - General Code Ann. §  15-121 (2021)
2021 Maryland Statutes|Health - General|Title 15 - Assistance Programs|Subtitle 1 - Medical and Pharmacy Assistance Programs|Section 15-121 - Claims Against Estates

    (a)    In accordance with applicable federal law and rules and regulations, including those under Title XIX of the Social Security Act, the Department may make claim against the estate of a deceased Program recipient for the amount of any medical assistance payments under this title.    (b)    The claim shall be waived by the Department if, in its judgment, enforcement of the claim will cause substantial hardship to the surviving dependents of the deceased.
MD. Health - General Code Ann. §  15-121.1 (2021)
2021 Maryland Statutes|Health - General|Title 15 - Assistance Programs|Subtitle 1 - Medical and Pharmacy Assistance Programs|Section 15-121.1 - Subrogation of Department to Program Recipient's Claim Under 19-505 and 19-506 of the Insurance Article

    (a)    If a Program recipient has a claim for any medical, hospital or disability benefits under §§ 19-505 and 19-506 of the Insurance Article, the Department shall be subrogated to that claim to the extent of any payments made by the Department on behalf of the Program recipient that results from the occurrence that gave rise to the claim less:        (1)    Applicable attorney’s fees; and        (2)    Any rights for loss of income.    (b)    (1)    An attorney representing a Program recipient under this subtitle on a claim to which the Department has a right of subrogation shall notify the Department prior to filing the claim.        (2)    This subsection may not be construed to create a cause of action for notifying or failing to notify the Department.    (c)    (1)    Any Program recipient or attorney, guardian, or personal representative of a Program recipient who receives money for a claim to which the Department has a subrogation claim shall, after receiving written notice of the subrogation claim, hold that money, for the benefit of the Department, to the extent required for the subrogation claim, after deducting applicable attorney’s fees.        (2)    A person who, after written notice of a subrogation claim from the Department and possible liability under this paragraph, disposes of the money, without the written approval of the Department, is liable to the Department for any amount that, because of the disposition, is not recoverable by the Department.        (3)    The Department may compromise or settle and release its subrogation claim if, in its judgment, collection of the claim will cause substantial hardship to the Program recipient or in a wrongful death action, the surviving dependent of a deceased Program recipient.
MD. Health - General Code Ann. §  15-121.2 (2021)
2021 Maryland Statutes|Health - General|Title 15 - Assistance Programs|Subtitle 1 - Medical and Pharmacy Assistance Programs|Section 15-121.2 - Subrogation of Department to Program Recipient's Claim Under 19-509 and 19-510 of the Insurance Article

    (a)    If a Program recipient has a claim for any medical, hospital, or disability benefits under §§ 19-509 and 19-510 of the Insurance Article, the Department shall be subrogated to that claim to the extent of any payments made by the Department on behalf of the Program recipient that results from the occurrence that gave rise to the claim, less applicable attorney’s fees.    (b)    (1)    An attorney representing a Program recipient under this subtitle on a claim to which the Department has a right of subrogation shall notify the Department prior to filing the claim.        (2)    This subsection may not be construed to create a cause of action for notifying or failing to notify the Department.    (c)    (1)    Any Program recipient, attorney, guardian, or personal representative of a Program recipient who receives money for a claim to which the Department has a subrogation claim shall, after receiving written notice of the subrogation claim, hold that money, for the benefit of the Department, to the extent required for the subrogation claim, after deducting applicable attorney’s fees.        (2)    A person who, after written notice of a subrogation claim from the Department and possible liability under this paragraph, disposes of the money, without the written approval of the Department, is liable to the Department for any amount that, because of the disposition, is not recoverable by the Department.        (3)    The Department may compromise or settle and release its subrogation claim if, in its judgment, collection of the claim will cause substantial hardship to the Program recipient or in a wrongful death action, the surviving dependent of a deceased Program recipient.
MD. Health - General Code Ann. §  15-121.3 (2021)
2021 Maryland Statutes|Health - General|Title 15 - Assistance Programs|Subtitle 1 - Medical and Pharmacy Assistance Programs|Section 15-121.3 - Assignment of Subrogation Right

    The Department may assign its right of subrogation under §§ 15-120, 15-121.1, and 15-121.2 of this subtitle to a managed care organization.
MD. Health - General Code Ann. §  15-122 (2021)
2021 Maryland Statutes|Health - General|Title 15 - Assistance Programs|Subtitle 1 - Medical and Pharmacy Assistance Programs|Section 15-122 - Responsibility of Spouse Under Program

    (a)    (1)    The spouse of a Program recipient is responsible for payments for the health care needs of the Program recipient to the extent that the spouse is able to pay any of the cost of care. Except as provided in paragraph (2) of this subsection, the total liability shall be limited to the amount spent for the care under the Program.        (2)    In any case in which eligibility was based on the spouse’s refusal to pay for the Program recipient’s care, the liability of the spouse may include:            (i)    The amount spent for care by the Program;            (ii)    Administrative and enforcement costs incurred by the Program related to pursuing reimbursement from the spouse; and            (iii)    Any penalties established by the Secretary by regulation for a violation of this section not to exceed $50 per day for each day a violation exists.    (b)    (1)    The Secretary shall adopt rules and regulations that set standards for payment by the spouse based on the ability of the spouse to pay all or part of the cost of care. To determine reasonably the ability to pay, the Secretary shall evaluate available income, ordinary living expenses, special expenses, and assets, other than the homestead of the spouse and its appurtenances.        (2)    Notwithstanding the standards established under paragraph (1) of this subsection, the spouse may also be liable for costs and penalties under subsection (a)(2) of this section.    (c)    (1)    The Secretary may collect the money owed.        (2)    The Central Collection Unit in the Department of Budget and Management shall collect delinquent accounts and debts.
MD. Health - General Code Ann. §  15-122.1 (2021)
2021 Maryland Statutes|Health - General|Title 15 - Assistance Programs|Subtitle 1 - Medical and Pharmacy Assistance Programs|Section 15-122.1 - Certain Providers Excluded From Repaying Depreciation Allowance

    (a)    In this section, “participating provider” means any facility that participates in the Program and is:        (1)    A skilled nursing facility;        (2)    A comprehensive care facility; or        (3)    An intermediate care facility.    (b)    A participating provider shall not be required to repay the State for any depreciation for which the provider has been reimbursed as an allowable expense and which could otherwise be recaptured by the State upon a sale, scrapping, trade-in, donation, exchange, demolition, or abandonment of a facility, or involuntary conversion of a facility such as condemnation, fire, theft, or other casualty.    (c)    This section has no effect if its operation would cause this State to lose any federal funds.
MD. Health - General Code Ann. §  15-122.2 (2021)
2021 Maryland Statutes|Health - General|Title 15 - Assistance Programs|Subtitle 1 - Medical and Pharmacy Assistance Programs|Section 15-122.2 - Intercepting State Tax Refund for Converted Funds

    (a)    In this section, “converted funds” means the amount received in payment by a person from an insurer for the cost of health services provided to a child which was not used to reimburse the Department for Medicaid costs incurred.    (b)    Each year the Department may refer to the Central Collection Unit of the Department of Budget and Management for certification to the State Comptroller the name of any person who has received converted funds for the interception of any State tax refund.    (c)    The Department shall notify the person certified under subsection (b) of this section that a certification has been made by the Department.    (d)    The certification by the Central Collection Unit shall include, if known:        (1)    The full name of the person certified and any other names known to be used by that person;        (2)    The address and the Social Security number of the person certified; and        (3)    The amount of the converted funds.    (e)    The State Comptroller shall:        (1)    Pay to the Department any income tax refund due to the person certified in an amount not more than the amount certified by the Department;        (2)    Pay to the person certified any part of the income tax refund over the amount of the converted funds; and        (3)    Notify the person certified of:            (i)    The amount paid to the Department; and            (ii)    The rights of the person certified under subsection (b) of this section.    (f)    (1)    On receipt of a notice of intercept from the State Comptroller, any person certified by the Department who disputes the existence or amount of the converted funds may file an appeal in accordance with Title 10 of the State Government Article.        (2)    If the Department finds that an excessive amount was withheld from the person’s income tax refund, the Department promptly shall pay to the taxpayer the excess amount withheld.    (g)    The Comptroller shall honor refund interception requests in the following order:        (1)    A refund interception request to collect an unpaid State, county, or municipal tax;        (2)    A refund interception request under § 10-113 of the Family Law Article for arrears of support payments;        (3)    A refund interception request for converted funds under this subtitle; and        (4)    Any other refund interception request.    (h)    The Secretary and the State Comptroller may adopt regulations to carry out this section.