reglab/statecodes huggingface dataset:
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 31 - OFFICE FOR CHILDREN › Chapter 14.31.06 - Standards for Residential Child Care Programs › Section 14.31.06.17 - Admission, Individual Plan of Care, Behavior Intervention Plan, and Discharge

Current through Register Vol. 51, No. 14, July 12, 2024
A. General
				Requirements.
(1) The licensee shall have and
				follow written policies regarding:
(a)
				Admission;
(b) Individual plan of
				care;
(c) Behavior intervention
				plan;
(d) Behavior support
				services; and
(e)
				Discharge.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 31 - OFFICE FOR CHILDREN › Chapter 14.31.06 - Standards for Residential Child Care Programs › Section 14.31.06.18 - Reports and Records

Current through Register Vol. 51, No. 14, July 12, 2024
A. General
				Requirements. The licensee shall:
(1) Submit
				reports and maintain records as directed by the licensing and contracting
				agencies in order to ensure compliance with these regulations and other federal
				and State laws; and
(2) Comply with
				requirements for incident reporting as specified by the licensing and
				contracting agencies.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 31 - OFFICE FOR CHILDREN › Chapter 14.31.06 - Standards for Residential Child Care Programs › Section 14.31.06.19 - Program Planning, Evaluation, and Quality Improvement

Current through Register Vol. 51, No. 14, July 12, 2024
A. Program Planning and Evaluation. The
				licensee shall have a formal process for program planning and evaluation which
				includes at least:
(1) A clearly stated
				written mission for the program approved by the board of directors;
(2) A set of measurable goals and objectives
				which is based upon the mission, program, population served, and State-mandated
				outcome measures;
(3) A periodic
				review of achievement of goals and objectives; and
(4) A correction plan approved by the Board
				for unmet goals.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 31 - OFFICE FOR CHILDREN › Chapter 14.31.07 - Specialized Licensing Standards › Section 14.31.07.01 - Purpose

Current through Register Vol. 51, No. 14, July 12, 2024
The purpose of this chapter is to establish specialized
				  licensing and monitoring standards that supplement or alter the core licensing
				  standards of COMAR 14.31.05 and 14.31.06 for particular types of residential
				  child care programs.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 31 - OFFICE FOR CHILDREN › Chapter 14.31.07 - Specialized Licensing Standards › Section 14.31.07.02 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter contains specialized licensing standards for the
				  following types of residential child care programs:
A. State-operated residential educational
				facilities;
B. Secure care
				programs;
C. Wilderness
				programs;
D. Programs for medically
				fragile children;
E. Programs for
				children with developmental disabilities;
F. Shelter care programs;
G. Programs for pregnant
				adolescents;
H. Mother-infant
				programs;
I. Therapeutic group
				homes;
J. Community mental health
				programs providing residential crisis services; and
K. Community mental health programs providing
				respite care services.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 31 - OFFICE FOR CHILDREN › Chapter 14.31.07 - Specialized Licensing Standards › Section 14.31.07.03 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				the definitions in COMAR 14.31.05 and 14.31.06 apply, and the following terms
				have the meanings indicated.
B.
				Terms Defined.
(1) "Developmental
				Disabilities Administration" means the Developmental Disabilities
				Administration of the Department of Health and Mental Hygiene.
(2) "Infant" means a child younger than 24
				months old.
(3) "Locked door
				isolation" means the involuntary restriction of a child from others for a
				period of time to a designated area from which the child may not leave, for the
				purpose of providing the child with an opportunity to gain behavioral
				control.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 31 - OFFICE FOR CHILDREN › Chapter 14.31.07 - Specialized Licensing Standards › Section 14.31.07.04 - State-Operated Residential Educational Facilities

Current through Register Vol. 51, No. 14, July 12, 2024
A. Scope. This regulation applies only to the
				Maryland School for the Deaf and the Maryland School for the Blind.
B. Applicable Core Regulations. The standards
				for residential child care programs established in COMAR 14.31.05 apply to
				residential educational facilities only to the extent that they are
				specifically referenced in §§D-F of this regulation.
C. Licensing and Monitoring.
(1) Licensing Agency.
(a) The Department of Human Resources is the
				licensing agency for residential education facilities.
(b) A residential educational facility may
				request a variance or waiver of the provisions listed in this subsection by
				filing a request for variance or waiver under COMAR
				14.31.05.13A.
(c) Residential educational
				facilities shall be monitored and evaluated as provided in COMAR
				14.31.05.07A -.09
				only with respect to the standards set out in §§D-F of this
				regulation.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 31 - OFFICE FOR CHILDREN › Chapter 14.31.07 - Specialized Licensing Standards › Section 14.31.07.05 - Secure Care Programs

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				Licensing Requirements. In addition to the requirements set out in this
				regulation, a licensee that provides secure care shall also meet the
				requirements of COMAR 14.31.05 and 14.31.06.
B. Security. In order to have a license as a
				secure care program, a licensee shall:
(1) Be
				licensed by the Department of Juvenile Services;
(2) Identify in its application for licensure
				the specific security measures to be used by the program and demonstrate that
				the measures are necessary in order to provide care for the children to be
				served by the applicant;
(3)
				Structure the physical plant so that it has:
(a) A 24-hour control center for monitoring
				and coordinating its security, safety, and communication systems;
(b) A perimeter that can retain the children
				within it and prevent unauthorized access into it; and
(c) Doors that open out from any room used by
				children;
(4) Assign and
				deploy staff so that the children are visually supervised and staff are able to
				respond immediately to emergencies;
(5) Open mail addressed to a child in front
				of the child to check for contraband;
(6) Inspect:
(a) On a weekly basis:
(i) The operation of all security devices;
				and
(ii) For the presence of
				contraband; and
(b) On a
				daily basis, all areas occupied by the children; and
(7) Document all inspections and immediately
				correct all problems or defects found during the inspections.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 31 - OFFICE FOR CHILDREN › Chapter 14.31.07 - Specialized Licensing Standards › Section 14.31.07.06 - Wilderness Programs

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				Additional Requirements.
(1) In addition to
				the requirements set forth in COMAR 14.31.05 and 14.31.06, a licensee shall
				ensure that a wilderness program also meets the requirements of this
				regulation.
(2) With the exception
				of §§B and C of this regulation, the requirements of COMAR
				14.31.06.07A are
				not applicable to wilderness programs.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 31 - OFFICE FOR CHILDREN › Chapter 14.31.07 - Specialized Licensing Standards › Section 14.31.07.07 - Programs for Medically Fragile Children

Current through Register Vol. 51, No. 14, July 12, 2024
A. Additional Requirements. In addition to
				the requirements set out in COMAR 14.31.05 and 14.31.06, a program for
				medically fragile children also shall meet the requirements of this
				regulation.
B. Staff. The licensee
				shall:
(1) Ensure that a health care
				professional licensed to practice in the State trains child care staff, based
				on the individual needs of each child; and
(2) Obtain consultation services from a
				pediatric medical specialist for input on the placement of and ongoing care
				decisions regarding the children.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 31 - OFFICE FOR CHILDREN › Chapter 14.31.07 - Specialized Licensing Standards › Section 14.31.07.08 - Programs for Children With Developmental Disabilities

Current through Register Vol. 51, No. 14, July 12, 2024
A. Additional Requirements. In addition to
				the requirements set out in COMAR 14.31.05 and 14.31.06, a program for children
				with developmental disabilities also shall meet the requirements of this
				regulation.
B. Quality Assurance.
				The licensee shall conform to the quality assurance standards established in
				COMAR 10.22.02.14A.
C. Standing Committee. The
				licensee shall establish a standing committee or committees to:
(1) Perform the quality assurance functions
				set forth in COMAR 14.31.05;
(2)
				Review the licensee's protocol for identifying, reporting, documenting,
				investigating, and reviewing of incidents to ensure compliance with the
				licensing agency's procedures;
(3)
				Monitor implementation of the licensee's protocol identified in §C(2) of
				this regulation, including a review of all incidents in an effort to identify
				deficient practices and recommend necessary corrective action;
(4) Approve all behavior plans that use
				restrictive techniques to ensure that the behavior plan complies with the
				requirements of COMAR 10.22.10,
				10.22.04.03A, and
				14.31.05.15A;
(5) Review, approve,
				and establish the time frame for the restriction of a right if it is not
				related to a challenging behavior, in accordance with COMAR
				10.22.04.03A, or
				other requirements appropriate to the licensing agency;
(6) Review the licensee's policies and
				procedures and practices to ensure that they adequately protect the legal and
				human rights of each child served by the licensee; and
(7) Unless otherwise provided for, be
				organized to perform the functions set forth in §A of this regulation for
				one or more licensees.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 31 - OFFICE FOR CHILDREN › Chapter 14.31.07 - Specialized Licensing Standards › Section 14.31.07.09 - Shelter Care Programs

Current through Register Vol. 51, No. 14, July 12, 2024
A. In
				addition to the requirements set out in COMAR 14.31.05 and 14.31.06, a licensee
				shall ensure a program that provides shelter care also meets the requirements
				of this regulation.
B. Requirements
				for Non-Agency Placements.
(1) If a person or
				entity other than an agency places a child in shelter care, the licensee shall
				seek authorization for the placement by:
(a)
				Moving, within 24 hours after admission, to acquire legal custody of the child;
				or
(b) Requesting the consent of
				the child's parent for the placement and for any routine or emergency medical,
				dental, or mental health care.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 31 - OFFICE FOR CHILDREN › Chapter 14.31.07 - Specialized Licensing Standards › Section 14.31.07.10 - Pregnant Adolescents

Current through Register Vol. 51, No. 14, July 12, 2024
A. In
				addition to the requirements set out in COMAR 14.31.05 and 14.31.06, a licensee
				shall ensure a program caring for pregnant adolescents also meets the
				requirements of this regulation.
B.
				A program caring for pregnant adolescents shall ensure that:
(1) All pregnant adolescents receive
				comprehensive prenatal care, including:
(a) A
				medical care program outlined by a licensed medical professional; and
(b) Participation in a child birth class
				provided by a qualified and competent childbirth educator.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 31 - OFFICE FOR CHILDREN › Chapter 14.31.07 - Specialized Licensing Standards › Section 14.31.07.12 - Therapeutic Group Homes

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				therapeutic group home shall meet the requirements of COMAR 14.31.05 and
				14.31.06, with the following exceptions:
(1)
				COMAR 14.31.06.17B;
(2) COMAR
				14.31.06.17C;
				and
(3) COMAR
				14.31.06.17D.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 31 - OFFICE FOR CHILDREN › Chapter 14.31.07 - Specialized Licensing Standards › Section 14.31.07.13 - Community Mental Health Programs Providing Residential Crisis Services

Current through Register Vol. 51, No. 14, July 12, 2024
In addition to the requirements of COMAR 14.31.05 and
				  14.31.06, a community mental health program providing residential crisis
				  services shall meet the requirements of COMAR 10.21.26.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 31 - OFFICE FOR CHILDREN › Chapter 14.31.07 - Specialized Licensing Standards › Section 14.31.07.14 - Community Mental Health Programs Providing Respite Care Services

Current through Register Vol. 51, No. 14, July 12, 2024
In addition to the requirements of COMAR 14.31.05 and
				  14.31.06, a community mental health program providing respite care services
				  shall meet the requirements of COMAR 10.21.27.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 31 - OFFICE FOR CHILDREN › Chapter 14.31.09 - Statement of Need › Section 14.31.09.01 - Purpose

Current through Register Vol. 51, No. 14, July 12, 2024
The purpose of this chapter is to establish a process for
				  developing and issuing a statement of need for residential child care programs
				  licensed by the Department of Human Resources or the Department of Juvenile
				  Services.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 31 - OFFICE FOR CHILDREN › Chapter 14.31.09 - Statement of Need › Section 14.31.09.02 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter applies to the development and issuance of a
				  statement of need for residential child care programs to be licensed by the
				  Department of Human Resources or the Department of Juvenile Services. This
				  chapter also applies to the relocation of an existing or previously licensed
				  residential child care program to another site and the expansion or increase in
				  the number of placements of an existing residential child care
				  program.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 31 - OFFICE FOR CHILDREN › Chapter 14.31.09 - Statement of Need › Section 14.31.09.03 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				the following terms have the meanings indicated.
B. Terms Defined.
(1) "Agencies" means the Department of Human
				Resources and the Department of Juvenile Services.
(2) "Expansion request" means the materials
				required by the Office submitted by a licensed provider that seeks to add
				additional beds to an existing facility, to expand the physical site or to
				duplicate a residential child care program in a new location.
(3) "Facility" means the physical premises
				where a residential child care program that is licensed by the Department of
				Human Resources or the Department of Juvenile Services is operated.
(4) "Licensing" means the process undertaken
				by the Agencies to issue, suspend, revoke, or deny a license.
(5) "Office" means the Governor's Office for
				Children.
(6) "Proposal" means the
				materials required by the Office, submitted by a potential new provider or an
				established provider, to develop a new residential child care facility or
				program, or an expansion request.
(7) "Provider" means the operator of a
				residential child care program.
(8)
				"Residential child care program" means a program of care provided in a
				residential setting by a provider on a 24-hour basis, for longer than 24 hours,
				to a child or children, unless otherwise provided by State law. A residential
				child care program does not include any program licensed by Department of
				Health and Mental Hygiene.
(9)
				"Statement of need" means an official certification of public need in a county
				or region issued by one of the Agencies for the location and/or establishment
				of a residential child care program.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 31 - OFFICE FOR CHILDREN › Chapter 14.31.09 - Statement of Need › Section 14.31.09.04 - Statement of Need

Current through Register Vol. 51, No. 14, July 12, 2024
A. A Statement
				of Need shall be issued by the Department of Human Resources or the Department
				of Juvenile Services before:
(1) A prospective
				licensee may submit to the Office a proposal for a residential child care
				program in accordance with COMAR 14.31.02;
(2) An existing or previously licensed
				residential child care program is relocated to another site;
(3) The physical site of a residential child
				care program is expanded; or
(4)
				The number of placements in a residential child care program is
				increased.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 31 - OFFICE FOR CHILDREN › Chapter 14.31.09 - Statement of Need › Section 14.31.09.05 - Disputes

Current through Register Vol. 51, No. 14, July 12, 2024
A. When the
				licensing agency rejects a proposal submitted in response to a request for
				proposals issued in conjunction with a statement of need under this regulation,
				a provider has a right to protest the rejection to the licensing agency
				procurement officer under the protest provisions of COMAR 21.10.02.
B. A provider has a right to a hearing under
				the licensing provisions of COMAR
				14.31.05.10C when
				the licensing agency denies an application for a license under this
				regulation.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 33 - DEPARTMENT OF INFORMATION TECHNOLOGY › Chapter 14.33.01 - Definitions and General Provisions › Section 14.33.01.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
A. This subtitle
				does not apply to changes relating to or the purchase, lease, or rental of
				information technology by:
(1) Public
				institutions of higher education solely for academic or research
				purposes;
(2) The Maryland Port
				Administration;
(3) The University
				System of Maryland;
(4) St. Mary's
				College of Maryland; or
(5) Morgan
				State University.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 33 - DEPARTMENT OF INFORMATION TECHNOLOGY › Chapter 14.33.01 - Definitions and General Provisions › Section 14.33.01.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this
				subtitle, the following terms have the meanings indicated.
B. Terms Defined
(1) "Accessible" means:
(a) Easy to get to;
(b) Approachable; or
(c) Available.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 33 - DEPARTMENT OF INFORMATION TECHNOLOGY › Chapter 14.33.02 - Information and Communication Technology Nonvisual Access Standards › Section 14.33.02.01 - Purpose

Current through Register Vol. 51, No. 14, July 12, 2024
A. The purpose of
				this chapter is to implement State Finance and Procurement Article,
				§§3A-303(a)(5), 3A-311, and 3A-312, Annotated Code of
				Maryland.
B. This chapter sets
				forth uniform nonvisual access standards to be used in the procurement of
				information and communication technology (ICT) and the provision of ICT
				services by or on behalf of agencies.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 33 - DEPARTMENT OF INFORMATION TECHNOLOGY › Chapter 14.33.02 - Information and Communication Technology Nonvisual Access Standards › Section 14.33.02.02 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
A. This chapter
				applies to the procurement of ICT and the provision of ICT services by or on
				behalf of agencies, except if:
(1) The ICT is
				not available with nonvisual access because the essential elements of the
				information technology are visual and a nonvisual equivalent cannot be
				developed; or
(2) The cost of
				modifying the ICT for compatibility with software and hardware for nonvisual
				access would increase the price of the procurement by more than 15
				percent.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 33 - DEPARTMENT OF INFORMATION TECHNOLOGY › Chapter 14.33.02 - Information and Communication Technology Nonvisual Access Standards › Section 14.33.02.03 - Functional Performance Criteria

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				Functional performance criteria shall apply to Regulations .04-.06 of this
				chapter.
B. ICT shall be considered
				nonvisually accessible if the ICT meets the following requirements:
(1) Without Vision. If a visual mode of
				operation is provided, ICT shall provide at least one mode of operation that
				does not require user vision.
(2)
				With Limited Vision. If a visual mode of operation is provided, ICT shall
				provide at least one mode of operation that enables users to make use of
				limited vision.
(3) Without
				Perception of Color. If a visual mode of operation is provided, ICT shall
				provide at least one nonvisual mode of operation that does not require user
				perception of color.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 33 - DEPARTMENT OF INFORMATION TECHNOLOGY › Chapter 14.33.02 - Information and Communication Technology Nonvisual Access Standards › Section 14.33.02.05 - Software

Current through Register Vol. 51, No. 14, July 12, 2024
Software ICT shall be considered nonvisually accessible if
				  the software ICT meets the requirements of 36 CFR § 1194 .C.5, which is
				  incorporated by reference.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 33 - DEPARTMENT OF INFORMATION TECHNOLOGY › Chapter 14.33.02 - Information and Communication Technology Nonvisual Access Standards › Section 14.33.02.06 - Support Documentation and Services

Current through Register Vol. 51, No. 14, July 12, 2024
A. Scope. The technical requirements of this
				regulation shall apply to ICT support documentation and services if required by
				this chapter.
B. Support
				Documentation.
(1) General documentation that
				supports the use of ICT shall conform to this section.
(2) Accessibility and Compatibility Features.
				Documentation shall list and explain how to use the nonvisual accessibility and
				compatibility features required by Regulations .04 and .05 of this chapter.
				Documentation shall include accessibility features that are built in and
				accessibility features that provide compatibility with assistive
				technology.
(3) Electronic Support
				Documentation. Documentation in electronic format, including web-based
				self-service support shall be considered nonvisually accessible if the ICT
				meets the requirements of 36 CFR § 1194 .C.602.3, which is incorporated by
				reference.
(4) Alternate Formats
				for Nonelectronic Support Documentation. If support documentation is only
				provided in nonelectronic formats, alternate formats usable by individuals with
				visual disabilities shall be provided upon request.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 33 - DEPARTMENT OF INFORMATION TECHNOLOGY › Chapter 14.33.02 - Information and Communication Technology Nonvisual Access Standards › Section 14.33.02.07 - Compliance Certification

Current through Register Vol. 51, No. 14, July 12, 2024
Each agency shall certify in the Agency Information
				  Technology Master Plan submission to the Department of Information Technology,
				  in a form prescribed by the Department, that the ICT procured and services
				  provided by or on behalf of the unit comply with the requirements in this
				  chapter.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.01 - General Provisions › Section 14.35.01.01 - Compliance with Federal Law

Current through Register Vol. 51, No. 14, July 12, 2024
The Maryland Health Benefit Exchange shall comply with all
				  provisions of the Patient Protection and Affordable Care Act,
				  Pub. L. No.
				  111-148, 124 Stat. 119 (2010), and all associated
				  guidance and regulations hereto and hereafter issued.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.02 - Individual Exchange Navigator Certification and Training Standards › Section 14.35.02.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter sets forth the qualifications, training, and
				  certification standards for an individual who applies to receive an Individual
				  Exchange navigator certification and is required under Insurance Article,
				  §
									31-113(h)(1),
				  Annotated Code of Maryland to hold an Individual Exchange navigator
				  certification to provide the services listed under Insurance Article, §
									31-113(d)(1),
				  Annotated Code of Maryland.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.02 - Individual Exchange Navigator Certification and Training Standards › Section 14.35.02.02 - Eligibility Requirements

Current through Register Vol. 51, No. 14, July 12, 2024
To qualify for an Individual Exchange navigator
				  certification, an applicant shall:
A.
				Be of good character and trustworthy;
B. Be at least 18 years old;
C. Successfully complete and comply with any
				ongoing requirements of the training program set forth under regulation .04 of
				this chapter; and
D. Comply with
				any applicable requirements of Department of Health and Mental
				Hygiene.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.02 - Individual Exchange Navigator Certification and Training Standards › Section 14.35.02.03 - Application Procedures

Current through Register Vol. 51, No. 14, July 12, 2024
A. In
				order to obtain an Individual Exchange navigator certification, the applicant
				shall submit to the Exchange:
(1) An
				application on the form provided by the Exchange;
(2) An attestation that the applicant will
				notify the Exchange of any changes to information that the applicant provides
				or to which the applicant attests on the application form within 30 days of
				such change;
(3) An application fee
				if permitted by law and in the manner specified by the Exchange;
(4) Evidence of the written consent required
				under COMAR 31.03.12, if applicable; and
(5) Evidence that the applicant has
				successfully completed the Individual Exchange navigator certification training
				program.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.02 - Individual Exchange Navigator Certification and Training Standards › Section 14.35.02.04 - Training Standards

Current through Register Vol. 51, No. 14, July 12, 2024
A. Scope
				of Training. The training shall include information on:
(1) Commercial health insurance;
(2) The Medicaid and MCHP programs;
(3) Eligibility, enrollment, renewal and
				disenrollment;
(4) Advanced premium
				tax credits;
(5) Consumer
				assistance and protection;
(6)
				Quality assurance standards; and
(7) Ethics.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.03 - Individual Exchange Navigator Certification - Renewal, Reinstatement, Deactivation, and Suspension or Revocation of Certification › Section 14.35.03.01 - Term

Current through Register Vol. 51, No. 14, July 12, 2024
An Individual Exchange navigator certification expires 2
				  years after the date it is issued unless it is renewed.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.03 - Individual Exchange Navigator Certification - Renewal, Reinstatement, Deactivation, and Suspension or Revocation of Certification › Section 14.35.03.02 - Renewal

Current through Register Vol. 51, No. 14, July 12, 2024
A. Notice.
(1) At least 60 days before the expiration of
				an Individual Exchange navigator certification, the Exchange shall notify the
				Individual Exchange navigator, either directly at the address, including email
				address, on file with the Exchange, or by contacting the navigator entity by
				whom the Individual Exchange navigator is employed or engaged, of the
				expiration date of an Individual Exchange navigator certification.
(2) The notification shall include:
(a) A renewal application;
(b) The date by which the Exchange must
				receive the renewal application for the renewal to be issued before the
				certification expires; and
(c) The
				amount of the renewal fee, if any.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.03 - Individual Exchange Navigator Certification - Renewal, Reinstatement, Deactivation, and Suspension or Revocation of Certification › Section 14.35.03.03 - Reinstatement

Current through Register Vol. 51, No. 14, July 12, 2024
In order to obtain a reinstatement of an Individual Exchange
				  navigator certification, the applicant shall submit to the Exchange an
				  application as required under COMAR 14.35.02.03.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.03 - Individual Exchange Navigator Certification - Renewal, Reinstatement, Deactivation, and Suspension or Revocation of Certification › Section 14.35.03.04 - Inactive Certification

Current through Register Vol. 51, No. 14, July 12, 2024
A. An
				Individual Exchange navigator shall provide evidence satisfactory to the
				Exchange of employment or engagement by a navigator entity before the navigator
				may become certified.
B. The
				Exchange may deactivate an individual's Individual Exchange navigator
				certification whenever the:
(1) Individual
				fails to complete the annual training;
(2) Individual has not provided evidence
				satisfactory to the Exchange of employment or engagement by a navigator entity,
				as set forth under §A of this regulation; or
(3) The Exchange is informed, either by the
				individual or a navigator entity, that the individual is not employed or
				engaged by the navigator entity.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.03 - Individual Exchange Navigator Certification - Renewal, Reinstatement, Deactivation, and Suspension or Revocation of Certification › Section 14.35.03.05 - Suspension or Revocation

Current through Register Vol. 51, No. 14, July 12, 2024
The Commissioner may suspend or revoke an Individual Exchange
				  navigator certification for the reasons listed under Insurance Article, §
									31-113(l)(1),
				  Annotated Code of Maryland.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.04 - Insurance Producer Authorization to Sell Qualified Plans in the SHOP Exchange and Individual Exchange Authority › Section 14.35.04.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter sets forth the qualifications, training, and
				  authorization standards for an individual who applies to receive a Small
				  Business Health Options (SHOP) insurance producer authorization or an
				  Individual Exchangeinsurance producer authorization and is required under
				  Insurance Article, §§
									31-112(g)(2)
				  and
				  31-113(n)(2),
				  Annotated Code of Maryland, to hold such an authorization to sell qualified
				  plans within the SHOP Exchange or Individual Exchange.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.04 - Insurance Producer Authorization to Sell Qualified Plans in the SHOP Exchange and Individual Exchange Authority › Section 14.35.04.02 - Eligibility Requirements

Current through Register Vol. 51, No. 14, July 12, 2024
To be eligible to apply for initial insurance producer
				  authorization, an applicant shall be licensed by the Maryland Insurance
				  Commissioner as an insurance producer authorized to sell health
				  insurance.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.04 - Insurance Producer Authorization to Sell Qualified Plans in the SHOP Exchange and Individual Exchange Authority › Section 14.35.04.03 - Application Procedures

Current through Register Vol. 51, No. 14, July 12, 2024
A. In
				order to obtain a SHOP Exchange insurance producer authorization or Individual
				Exchange insurance producer authorization, the applicant shall submit to the
				Exchange:
(1) An application on the form
				provided by the Exchange;
(2) An
				attestation that the applicant will notify the Exchange of any changes to
				information the applicant provides or to which the applicant attests on the
				application form within 30 days of such change;
(3) An application fee if permitted by law
				and in the manner specified by the Exchange;
(4) Evidence that the applicant is licensed
				by the Maryland Insurance Commissioner as an insurance producer authorized to
				sell health insurance;
(5) Evidence
				of the written consent required under COMAR 31.03.12, if applicable;
				and
(6) Evidence that the applicant
				has successfully completed the:
(a) SHOP
				Exchange insurance producer authorization training if the applicant is applying
				for a SHOP Exchangeinsurance producer authorization; or
(b) Individual Exchange Producer
				Authorization training if the applicant is applying for an Individual Exchange
				insurance producer authorization.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.04 - Insurance Producer Authorization to Sell Qualified Plans in the SHOP Exchange and Individual Exchange Authority › Section 14.35.04.04 - Training

Current through Register Vol. 51, No. 14, July 12, 2024
A. An applicant for
				the SHOP Exchange insurance producer authorization shall complete the
				Exchange-approved SHOP insurance producer authorization training.
B. An applicant for the Individual Exchange
				insurance producer authorization shall complete the Commissioner-approved
				Individual Exchange insurance producer authorization training.
C. The Exchange shall review, and as
				appropriate update, the content of the SHOP insurance producer authorization
				training program on a schedule established by the Exchange.
D. The Exchange, with the approval of the
				Commissioner, shall review, and as appropriate update, the content of the
				Individual Exchange insurance producer authorization training program at least
				every 2 years.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.05 - Insurance Producer Authorization - Renewal, Reinstatement, and Suspension or Revocation of Authorization › Section 14.35.05.01 - Term

Current through Register Vol. 51, No. 14, July 12, 2024
An insurance producer authorization expires 2 years after the
				  date it is issued unless it is renewed.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.05 - Insurance Producer Authorization - Renewal, Reinstatement, and Suspension or Revocation of Authorization › Section 14.35.05.02 - Renewal

Current through Register Vol. 51, No. 14, July 12, 2024
A. Notice.
(1) At least 60 days before the expiration of
				an insurance producer authorization, the Exchange shall notify the authorized
				insurance producer of the expiration of the authorization.
(2) The notification shall include:
(a) A renewal application;
(b) The date by which the Exchange must
				receive the renewal application for the renewal to be issued before the
				authorization expires; and
(c) The
				amount of the renewal fee, if any.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.05 - Insurance Producer Authorization - Renewal, Reinstatement, and Suspension or Revocation of Authorization › Section 14.35.05.03 - Reinstatement

Current through Register Vol. 51, No. 14, July 12, 2024
A. For up to 1 year
				after the expiration date, an individual whose insurance producer authorization
				has expired may apply to reinstate the expired authorization by:
(1) Filing a reinstatement application,
				either by mail or electronically, on the form approved by the
				Exchange;
(2) Paying to the
				Exchange the renewal fee if permitted by law and in the manner specified by the
				Exchange;
(3) Paying to the
				Exchange a reinstatement fee if permitted by law and in the manner specified by
				the Exchange; and
(4) Submitting
				evidence to the Exchange that the individual has successfully completed the
				Exchange annual training and the continuing education requirements under
				Regulation .02C of this chapter.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.05 - Insurance Producer Authorization - Renewal, Reinstatement, and Suspension or Revocation of Authorization › Section 14.35.05.04 - Suspension or Revocation

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				Exchange may suspend or revoke an insurance producer authorization for a
				licensed producer authorized to sell qualified plans in the SHOP Exchange as
				set forth under Insurance Article, §
									31-112(f)(3)(i),
				Annotated Code of Maryland.
B. The
				Exchange may suspend or revoke an insurance producer authorization for a
				licensed producer authorized to sell qualified plans in the Individual Exchange
				as set forth under Insurance Article, §
									31-113(m)(3)(i),
				Annotated Code of Maryland.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.06 - Exchange Consumer Services Center › Section 14.35.06.01 - Exchange Call Center

Current through Register Vol. 51, No. 14, July 12, 2024
The Exchange shall:
A. Maintain a consumer services call center
				at least during normal business hours;
B. Operate its consumer services call center
				as a triage device to handle or properly refer consumers' questions or
				complaints; and
C. Provide a
				consumer with information about how to use the consumer services call center to
				obtain information and assistance when appropriate.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.07 - Eligibility Standards for Enrollment in a Qualified Health Plan, Eligibility Standards for APTC and CSR, and Eligibility Standards for Enrollment in a Catastrophic Qualified Health Plan in the Individual Exchange › Section 14.35.07.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter sets forth the eligibility standards for
				  enrollment in a qualified health plan and qualified health plans with advance
				  payments of the premium tax credit and cost-sharing reductions in the
				  Individual Exchange. This chapter does not address the verification of
				  eligibility or redeterminations of eligibility for enrollment in the Individual
				  Exchange or eligibility for enrollment in the SHOP Exchange. This chapter does
				  not address eligibility and enrollment in qualified dental plans or qualified
				  vision plans.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.07 - Eligibility Standards for Enrollment in a Qualified Health Plan, Eligibility Standards for APTC and CSR, and Eligibility Standards for Enrollment in a Catastrophic Qualified Health Plan in the Individual Exchange › Section 14.35.07.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				the following terms have the meanings indicated.
B. Terms Defined.
(1) "Applicant" means an individual who
				submits an application through the Individual Exchange for the individual and
				the individual's tax household, and is seeking eligibility for:
(a) Enrollment in a QHP through the
				Individual Exchange; or
(b)
				Enrollment in an insurance affordability program through the Individual
				Exchange.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.07 - Eligibility Standards for Enrollment in a Qualified Health Plan, Eligibility Standards for APTC and CSR, and Eligibility Standards for Enrollment in a Catastrophic Qualified Health Plan in the Individual Exchange › Section 14.35.07.03 - Applying for Coverage Through the Individual Exchange

Current through Register Vol. 51, No. 14, July 12, 2024
A. Individuals may apply to enroll in a QHP
				or an insurance affordability program through the Individual Exchange using the
				single, streamlined application form approved by the Individual
				Exchange.
B. An individual may
				submit the application:
(1) By
				telephone;
(2) On the Individual
				Exchange's internet website;
(3)
				Using in-person assistance, including with the provision of reasonable
				accommodations; or
(4) By
				mail.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.07 - Eligibility Standards for Enrollment in a Qualified Health Plan, Eligibility Standards for APTC and CSR, and Eligibility Standards for Enrollment in a Catastrophic Qualified Health Plan in the Individual Exchange › Section 14.35.07.04 - Notice Requirements

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				Individual Exchange shall provide timely written notice to an applicant of any
				eligibility determination made under this chapter as set forth in
				45 CFR §
										155.230 and a notification of the right to
				request a fair hearing as set forth in COMAR 14.35.11.04.
B. If an employee enrolls in a QHP with APTC
				or CSR, the Individual Exchange shall notify the employee's employer at the
				employer's address provided by the employee to the Individual Exchange that the
				employee has been determined eligible for APTC or CSR.
C. The notice under §B of this
				regulation shall:
(1) Identify the employee
				by including:
(a) The employee's
				name;
(b) The employee's date of
				birth;
(c) The last four digits of
				the employee's Social Security number, if available; and
(d) The employee's Individual Exchange
				identification number;
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.07 - Eligibility Standards for Enrollment in a Qualified Health Plan, Eligibility Standards for APTC and CSR, and Eligibility Standards for Enrollment in a Catastrophic Qualified Health Plan in the Individual Exchange › Section 14.35.07.05 - Eligibility Requirements for Enrollment in a Qualified Health Plan Through the Individual Exchange

Current through Register Vol. 51, No. 14, July 12, 2024
A. An
				applicant shall be determined eligible for enrollment in a QHP through the
				Individual Exchange if the applicant is:
(1) A
				citizen or national of the United States, a non-citizen who is lawfully present
				in the United States, and reasonably expected to be a citizen, national, or a
				non-citizen who is lawfully present for the entire period for which enrollment
				is sought;
(2) A resident of the
				Individual Exchange service area; and
(3) Not incarcerated, other than
				incarceration pending the disposition of charges.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.07 - Eligibility Standards for Enrollment in a Qualified Health Plan, Eligibility Standards for APTC and CSR, and Eligibility Standards for Enrollment in a Catastrophic Qualified Health Plan in the Individual Exchange › Section 14.35.07.06 - General Eligibility Requirements-Citizenship and Immigration Status

Current through Register Vol. 51, No. 14, July 12, 2024
For the purpose of determining eligibility for enrollment in
				  a QHP under Regulation .05A(1) and (2) of this chapter, an individual shall be
				  considered a citizen or national of the United States if the individual
				  is:
A. A citizen of the United States,
				including:
(1) An individual who was born in:
(a) One of the 50 states;
(b) The District of Columbia;
(c) Puerto Rico;
(d) Guam;
(e) The Northern Mariana Islands;
				or
(f) The U.S. Virgin Islands;
				or
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.07 - Eligibility Standards for Enrollment in a Qualified Health Plan, Eligibility Standards for APTC and CSR, and Eligibility Standards for Enrollment in a Catastrophic Qualified Health Plan in the Individual Exchange › Section 14.35.07.07 - General Eligibility Requirements-Residency in Individual Exchange Service Area

Current through Register Vol. 51, No. 14, July 12, 2024
A. For the
				purpose of determining eligibility for enrollment in a QHP under Regulation
				.05(A)(2) of this chapter, an individual shall be considered a resident of the
				Exchange service area if:
(1) An individual
				is 21 years old or older, is not living in an institution, is capable of
				indicating intent, and is not receiving an optional State supplementary payment
				and the individual lives in the Individual Exchange service area, including
				without a fixed address; or
(2) An
				individual is younger than 21 years old, is not living in an institution, is
				not eligible for Medicaid based on receipt of assistance under Title IV-E of
				the Social Security Act, is not emancipated, is not receiving an optional State
				supplementary payment, and the individual either:
(a) Resides in the Exchange service area,
				including without a fixed address; or
(b) Resides with a parent or caretaker who
				resides in the service area of the Individual Exchange under §A(1) of this
				regulation.
Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.07 - Eligibility Standards for Enrollment in a Qualified Health Plan, Eligibility Standards for APTC and CSR, and Eligibility Standards for Enrollment in a Catastrophic Qualified Health Plan in the Individual Exchange › Section 14.35.07.08 - Eligibility Requirements for Advance Payments of the Premium Tax Credit

Current through Register Vol. 51, No. 14, July 12, 2024
A. A tax filer
				shall be determined eligible for APTC if:
(1)
				The tax filer attests to a household income, as defined in
				26 CFR §
											1.36B-1(e), greater than or
				equal to 100 percent but not more than 400 percent of the FPI for the benefit
				year for which coverage is requested; and
(2) One or more applicants for whom the tax
				filer attests to claiming a personal exemption deduction on the applicant's
				federal tax return for the benefit year:
(a)
				Meet the requirements for eligibility for enrollment in a QHP through the
				Individual Exchange, as specified in Regulation .05 of this chapter;
				and
(b) Are not eligible for
				minimum essential coverage, with the exception of coverage in the individual
				market as set forth in 26
				CFR §
												1.36B-2(a)(2) and
				(c).