reglab/statecodes huggingface dataset:
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 36 - BOARD OF EXAMINERS OF PSYCHOLOGISTS › Chapter 10.36.08 - Disciplinary Sanctions, Monetary Penalties, and Civil Fines › Section 10.36.08.05 - Mitigating and Aggravating Factors to Be Considered in the Assessment of the Sanction

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Depending on the facts and circumstances of each case, and to the extent that
				  they apply, the Board may consider the following mitigating and aggravating
				  factors in determining whether the sanction in a particular case should fall
				  outside the range of sanctions established by the guidelines. These factors may
				  include, but are not limited to, the following:
(1) Mitigating Factors:
(a) The licensee's or registrant's lack of a
				  prior disciplinary record;
(b) The
				  licensee or registrant self-reported the violation to the Board;
(c) The licensee's or registrant's full and
				  voluntary admissions of misconduct to the Board and cooperation during Board
				  proceedings;
(d) Implementation of
				  remedial measures to correct or mitigate harm arising from the misconduct;
(e) Timely good-faith effort to
				  make restitution or to rectify consequences of misconduct;
(f) Evidence of rehabilitation or
				  rehabilitative potential;
(g)
				  Absence of premeditation to commit the misconduct;
(h) Absence of potential harm to public or
				  adverse impact; and
(i) The
				  licensee's or registrant's conduct was an isolated incident and not likely to
				  recur; and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 36 - BOARD OF EXAMINERS OF PSYCHOLOGISTS › Chapter 10.36.08 - Disciplinary Sanctions, Monetary Penalties, and Civil Fines › Section 10.36.08.06 - Payment of a Penalty

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  licensee or registrant shall pay to the Board a penalty imposed under this
				  chapter as of the date the Board's order is issued, unless the Board's order
				  specifies otherwise.
B. Filing an
				  appeal under State Government Article, §
										10-222, Annotated
				  Code of Maryland, or Health Occupations Article, §
										18-316, Annotated
				  Code of Maryland, does not automatically stay payment of a penalty imposed by
				  the Board under this chapter.
C. If
				  a licensee or registrant fails to pay, in whole or in part, a penalty imposed
				  by the Board under this chapter, the Board may not restore, reinstate, or renew
				  a license or registration until the penalty has been paid in full.
D. In its discretion, the Board may refer all
				  cases of delinquent payment to the Central Collection Unit of the Department of
				  Budget and Management to institute and maintain proceedings to ensure prompt
				  payment.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 36 - BOARD OF EXAMINERS OF PSYCHOLOGISTS › Chapter 10.36.08 - Disciplinary Sanctions, Monetary Penalties, and Civil Fines › Section 10.36.08.07 - Civil Fines

Current through Register Vol. 51, No. 14, July 12, 2024
A. Practicing
				  on an Expired License or Registration.
(1)
				  The Board may impose a civil fine against a psychologist or psychology
				  associate who practices psychology on an expired license or registration in the
				  amount of $100 per day of practice past the expiration date of the license or
				  registration.
(2) The Board may not
				  impose a fine under §A(1) of this regulation against a psychologist or
				  psychology associate for practicing psychology on an expired license or
				  registration if the psychologist's license or the psychology associate's
				  registration is reinstated within 30 calendar days of the expiration date of
				  the license or registration and the licensee or registrant complies with COMAR
				  10.36.02.08B.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 36 - BOARD OF EXAMINERS OF PSYCHOLOGISTS › Chapter 10.36.09 - Child Custody Evaluations in Family Law Proceedings › Section 10.36.09.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
A. This chapter
				  governs the professional conduct of licensed psychologists who are performing
				  child custody evaluations or who otherwise render an opinion on legal or
				  physical custody.
B. This chapter
				  is not intended to negate the psychologist's obligations to comply with other
				  provisions of this subtitle.
C.
				  This chapter does not apply to the following types of proceedings:
(1) Child in need of assistance (CINA)
				  proceedings in accordance with Courts and Judicial Proceedings Article, Title
				  3, Subtitle 8, Annotated Code of Maryland;
(2) Department of Juvenile Services
				  proceedings in accordance with Courts and Judicial Proceedings Article, Title
				  3, Subtitle 8A, Annotated Code of Maryland; or
(3) Termination of parental rights (TPR)
				  proceedings in accordance with Family Law Article, Title 5, Subtitle 3,
				  Annotated Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 36 - BOARD OF EXAMINERS OF PSYCHOLOGISTS › Chapter 10.36.09 - Child Custody Evaluations in Family Law Proceedings › Section 10.36.09.02 - 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) "Child" means an individual younger than
				  18 years old.
(2) "Child custody
				  evaluation" means an assessment performed by a psychologist in order to render
				  findings and recommendations regarding custody or visitation that are in the
				  best interest of a child.
(3)
				  "Child Custody Proceeding" means a proceeding in which legal custody, physical
				  custody, or visitation with respect to a child is an issue.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 36 - BOARD OF EXAMINERS OF PSYCHOLOGISTS › Chapter 10.36.09 - Child Custody Evaluations in Family Law Proceedings › Section 10.36.09.03 - Preparing for a Child Custody Evaluation

Current through Register Vol. 51, No. 14, July 12, 2024
Before performing a child custody evaluation, a
					 psychologist shall:
A. Obtain a copy
				  of:
(1) The court order; or
(2) An agreement signed by the
				  parties;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 36 - BOARD OF EXAMINERS OF PSYCHOLOGISTS › Chapter 10.36.09 - Child Custody Evaluations in Family Law Proceedings › Section 10.36.09.04 - Competence Necessary to Conduct Child Custody Evaluations

Current through Register Vol. 51, No. 14, July 12, 2024
A. To be considered competent to conduct
				  child custody evaluations, a psychologist shall have education, training,
				  experience, or supervision in the following areas:
(1) Child and adult development and
				  psychopathology;
(2) Family
				  dynamics and psychopathology, including the impact of divorce;
(3) Maryland law governing:
(a) Divorce;
(b) Child custody proceedings;
(c) Child abuse and neglect; and
(d) Family violence; and
(4) Performing psychological assessments of:
(a) Children;
(b) Adults; and
(c) Families.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 36 - BOARD OF EXAMINERS OF PSYCHOLOGISTS › Chapter 10.36.09 - Child Custody Evaluations in Family Law Proceedings › Section 10.36.09.05 - Standards of Practice in Conducting a Child Custody Evaluation

Current through Register Vol. 51, No. 14, July 12, 2024
A. In order to
				  determine legal and physical custody arrangements that serve the child's best
				  interests, a psychologist conducting a child custody evaluation shall:
(1) Assess the following:
(a) Parenting skills and capacities of the
				  adults; and
(b) The child's
				  psychological functioning and developmental needs;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 36 - BOARD OF EXAMINERS OF PSYCHOLOGISTS › Chapter 10.36.10 - Telepsychology › Section 10.36.10.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter applies to all psychologists and psychology
					 associates in Maryland who engage in the practice of psychology using
					 telepsychology.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 36 - BOARD OF EXAMINERS OF PSYCHOLOGISTS › Chapter 10.36.10 - Telepsychology › Section 10.36.10.02 - 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) "Board" means the Maryland Board of
				  Examiners of Psychologists.
(2)
				  "Client" means the individual, couple, family, group, business, agency, school,
				  organization, or association that the psychologist or psychology associate
				  provides, or has provided, with professional services.
(3) "Psychologist" means an individual who is
				  licensed by the Board to practice psychology.
(4) "Psychology associate" means an
				  individual who is registered by the Board to practice psychology under the
				  supervision of a licensed psychologist.
(5) Telepsychology.
(a) "Telepsychology" means the use of
				  interactive audio, video, or other telecommunications or electronic media by a
				  psychologist or psychology associate who engages in the practice of psychology
				  at a location other than the location of the client.
(b) "Telepsychology " does not include:
(i) An audio-only telephone conversation
				  between a psychologist or psychology associate and a client;
(ii) An electronic mail message between a
				  psychologist or psychology associate and a client;
(iii) A facsimile transmission between a
				  psychologist or psychology associate and a client; or
(iv) A text message or other type of message
				  sent between a psychologist or psychology associate and a client by a short
				  message service or multimedia messaging service.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 36 - BOARD OF EXAMINERS OF PSYCHOLOGISTS › Chapter 10.36.10 - Telepsychology › Section 10.36.10.03 - Licensure

Current through Register Vol. 51, No. 14, July 12, 2024
An individual shall be licensed with the Board as a
					 psychologist or registered with the Board as a psychology associate in order to
					 engage in the practice of psychology using telepsychology in Maryland if one or
					 both of the following occurs:
A. The
				  individual practicing telepsychology is physically located in Maryland:
				  or
B. The client is in
				  Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 36 - BOARD OF EXAMINERS OF PSYCHOLOGISTS › Chapter 10.36.10 - Telepsychology › Section 10.36.10.04 - Standards of Practice for Telepsychology

Current through Register Vol. 51, No. 14, July 12, 2024
A. Before providing telepsychology services,
				  a psychologist or psychology associate shall develop and follow a procedure to:
(1) Verify the identification of the client
				  receiving telepsychology services;
(2) Obtain informed consent specific to
				  telepsychology services using appropriate language understandable to the
				  client;
(3) Prevent access to data
				  by unauthorized persons through encryption, or other means;
(4) Notify clients in the event of a data
				  breach;
(5) Ensure that the
				  telepsychology practitioner provides a secure and private telepsychology
				  connection and complies with federal and state privacy laws;
(6) Establish safety protocols to be used in
				  the case of an emergency, including contact information for emergency services
				  at the client's location; and
(7)
				  Ensure that any psychological testing instruments used are designed, validated,
				  or appropriate for use via telepsychology.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 36 - BOARD OF EXAMINERS OF PSYCHOLOGISTS › Chapter 10.36.10 - Telepsychology › Section 10.36.10.05 - Evaluation for Telepsychology Services

Current through Register Vol. 51, No. 14, July 12, 2024
A. Before engaging in the practice of
				  psychology using telepsychology, a psychologist or psychology associate shall
				  evaluate the client to determine that delivery of telepsychology is appropriate
				  considering at least the following factors:
(1) The client's:
(a) Diagnosis;
(b) Symptoms;
(c) Medical and psychological history;
				  and
(d) Preference for receiving
				  services via telepsychology; and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 36 - BOARD OF EXAMINERS OF PSYCHOLOGISTS › Chapter 10.36.10 - Telepsychology › Section 10.36.10.06 - Discipline

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Board shall
				  use the same standards in evaluating and investigating a complaint and
				  disciplining a psychologist or psychology associate who practices
				  telepsychology as it would use for a psychologist or psychology associate who
				  does not use telepsychology technology in the licensee's practice.
B. The failure of a psychologist or
				  psychology associate to comply with this chapter shall constitute
				  unprofessional conduct and may be subject to disciplinary action by the
				  Board.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.01 - Uniform Accounting and Reporting System for Hospitals and Related Institutions › Section 10.37.01.02 - Accounting System; Hospitals

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  Accounting System.
(1) The accounting system
				  set forth in the Commission's "Accounting and Reporting System for Hospitals"
				  issued in February, 1973, shall be used by all Section 556 hospitals, with the
				  exception of those hospitals that are a part of the Department of Health and
				  Mental Hygiene, for their fiscal year period beginning on or after April 1,
				  1973, and all subsequent periods.
(2) The "Accounting and Reporting System for
				  Hospitals", also known as the Accounting and Budget Manual for Fiscal and
				  Operating Management (August, 1987), is incorporated by reference, including
				  the following supplements:
(a) Supplement 1
				  (September 7, 1988);
(b) Supplement
				  2 (August 25, 1989);
(c) Supplement
				  3 (June 9, 1990);
(d) Supplement 4
				  (December 20, 1990);
(e) Supplement
				  5 (August 30, 1993);
(f) Supplement
				  6 (January 2, 1995);
(g) Supplement
				  7 (May 6, 1996);
(h) Supplement 8
				  (April 7, 1997);
(i) Supplement 9
				  (May 4, 1998);
(j) Supplement 10
				  (April 7, 1999);
(k) Supplement 11
				  (March 6, 2000);
(l) Supplement 12
				  (July 9, 2001);
(m) Supplement 13
				  (September 30, 2002);
(n)
				  Supplement 14 (March 29, 2004);
(o)
				  Supplement 15 (August 1, 2005);
(p)
				  Supplement 16 (March 25, 2006);
(q)
				  Supplement 17 (April 10, 2007);
(r)
				  Supplement 18 (April 6, 2009);
(s)
				  Supplement 19 (February 9, 2010);
(t) Supplement 20 (May 16, 2011);
(u) Supplement 21 (June 5, 2012);
(v) Supplement 22 (March 3, 2014);
(w) Supplement 23 (July 28,2015);
(x) Supplement 24 (April 12, 2018);
(y) Supplement 25 (February 10,
				  2020);
(z) Supplement 26 (January
				  14, 2021);
(aa) Supplement 27
				  (October 12. 2022); and
(bb)
				  Supplement 28 (June 14, 2023).
(3) The Commission shall provide each Section
				  556 hospital under its jurisdiction with a copy of the Accounting and Budget
				  Manual for Fiscal and Operating Management (August, 1987), which shall
				  represent the official interpretation of accounting and reporting practices and
				  procedures of the System.
(4) The
				  Executive Director is authorized and empowered by the Commission to allocate
				  specific items to specific accounts within the system when the allocations are
				  necessary to assure uniformity of accounting procedures.
(5) Requests for exceptions to the system may
				  be filed as provided in §C.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.01 - Uniform Accounting and Reporting System for Hospitals and Related Institutions › Section 10.37.01.03 - Reporting Requirements; Hospitals

Current through Register Vol. 51, No. 14, July 12, 2024
A. Annual Financial Statements.
(1) The following audited financial
				  statements are required to be submitted by each Section 556 hospital, with the
				  exception of those hospitals that are a part of the Department of Health and
				  Mental Hygiene:
(a) Balance
				  Sheet-Unrestricted Funds (AUB);
(b)
				  Balance Sheet-Restricted Funds (ARB);
(c) Statement of Change in Equity
				  (AFB);
(d) Statement of Revenue and
				  Expense (ARE);
(e) Statement of
				  Change in Financial Position (AFP).
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.01 - Uniform Accounting and Reporting System for Hospitals and Related Institutions › Section 10.37.01.04 - Accounting System: Related Institutions

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Accounting System.
(1) The accounting system set forth in the
				  Commission's "Accounting and Reporting System for Related Institutions" issued
				  in March, 1973, shall be used by all Section 556 related institutions for their
				  fiscal year period beginning on, or after, April 1, 1973, and all subsequent
				  periods.
(2) The "Accounting and
				  Reporting System for Related Institutions" is incorporated in these regulations
				  as if set forth in full.
(3) The
				  Commission shall provide each section 556 related institution with a copy of
				  "Accounting and Reporting System for Related Institutions" which may be amended
				  pursuant to the Administrative Procedure Act, State Government Article, Title
				  10, Annotated Code of Maryland.
(4)
				  The Executive Director is authorized and empowered by the Commission to
				  allocate specific items to specific accounts within the System when the
				  allocations are necessary to assure uniformity of accounting
				  procedures.
(5) Requests for
				  exceptions to the System may be filed as provided in §D, of this
				  regulation.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.01 - Uniform Accounting and Reporting System for Hospitals and Related Institutions › Section 10.37.01.05 - Reporting Requirements, Related Institutions

Current through Register Vol. 51, No. 14, July 12, 2024
A. Required Annual Reports and Statements.
				  Each section 556 related institution shall submit annually to the Commission,
				  within 90 days after the close of the related institution's annual accounting
				  period (fiscal year), the following reports and statements as specified in
				  Section III of Accounting and Reporting System for Related Institutions:
(1) A balance sheet (Schedule D);
(2) A statistical, cost finding and revenue
				  analysis report (Schedules A, B, and G);
(3) A profit and loss statement (Schedule
				  C);
(4) Statements of selected data
				  related to owners and related organizations (Schedules E and F);
(5) Certification (Schedule H);
(6) A statement of its dealings and
				  relationships with certain entities.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.01 - Uniform Accounting and Reporting System for Hospitals and Related Institutions › Section 10.37.01.06 - Non-Profit Hospitals and Related Institutions: Disclosure of Interest by Trustees

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  Guide and Instructions. The Guide for the Trustee's Disclosure of Interest
				  Statement and the instructions for it set forth immediately following these
				  regulations concerning disclosure, are hereby incorporated in these
				  regulations.
B. Periods Covered by
				  the Statement. The statement shall report all business transactions described
				  in Health-General Article, §19-220, Annotated Code of Maryland, during the
				  hospital's or related institution's fiscal year beginning on, or after, July 1,
				  1973 and an additional statement shall report business transactions during each
				  succeeding fiscal year of the hospital or related institutions or fraction of
				  that year that the trustee serves the hospital or related
				  institution.
C. Filing of
				  Statements. The trustee shall file the completed, executed, and verified
				  statement with the Commission within 90 days after the end of the fiscal year
				  to which it applies.
D. Failure or
				  Delay in Filing Statements.
(1) Any trustee
				  who does not file the statement on the date it is due is liable for a civil
				  penalty or fine of $250 per day for each day the filing of the statement is
				  delayed, unless an extension is granted and a stay of filing is granted as
				  provided in §§E, F, and G of this regulation.
(2) This penalty or fine may not be
				  considered reasonable costs for purposes of rate setting by the Commission if
				  the hospital or related institution reimburses or indemnifies the trustee
				  therefor in any manner.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.01 - Uniform Accounting and Reporting System for Hospitals and Related Institutions › Section 10.37.01.07 - Further Investigation by Commission

Current through Register Vol. 51, No. 14, July 12, 2024
In order for the Commission to be able to assure the public
					 that the costs of a hospital are reasonable and that the reports submitted by a
					 hospital are accurate, the Commission may, at any time, conduct an
					 investigation of a hospital's relevant records and accounts.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.01 - Uniform Accounting and Reporting System for Hospitals and Related Institutions › Section 10.37.01.08 - Notification of Certain Financial Transactions

Current through Register Vol. 51, No. 14, July 12, 2024
A. General. A facility subject to the
				  jurisdiction of the Commission shall notify the Commission, in writing, within
				  30 days before executing any financial transaction, contract, or other
				  agreement that would:
(1) Pledge more than 50
				  percent of the operating assets of the facility as collateral for a loan or
				  other obligation
(2) Result in more
				  than 50 percent of the operating assets of the facility being sold, leased, or
				  transferred to another person or entity; or
(3) Result in more than 50 percent of all
				  corporate voting rights or governance reserve powers being transferred to or
				  assumed by another person or entity.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.02 - Standards of Rate Review › Section 10.37.02.02 - Review Standards for Rate Applications by Merged and Consolidated Hospitals

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  following terms have the meanings indicated.
B. Terms Defined.
(1) "Consolidation" means the extinguishment
				  of two or more hospitals and by the same process a new hospital organization is
				  formed, taking over the assets and assuming the liabilities of those passing
				  out of existence.
(2) "Mergers"
				  means the union of two or more hospitals by the transfer of all the property of
				  one or more of them to one of them, which continues in existence, the others
				  being merged therein. Only the hospital that continues in existence will
				  receive Commission approved rates for acute hospital services.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.03 - Types and Classes of Charges Which Cannot Be Changed Without Prior Commission Approval › Section 10.37.03.01 - Changes in Rates

Current through Register Vol. 51, No. 14, July 12, 2024
A hospital may not increase any existing rate or charge of
					 any class or type or impose any new rate or charge of any class or type without
					 the approval of the Commission, except for those changes specifically excepted
					 by regulation or order of the Commission.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.03 - Types and Classes of Charges Which Cannot Be Changed Without Prior Commission Approval › Section 10.37.03.02 - Changes in Unit Rates

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  hospital may vary its unit rates within any 100 percent inpatient patient care
				  center without prior Commission approval, if the variation does not change the
				  average charge per unit of service as prescribed in the Commission's Rate
				  Review System.
B. A hospital may
				  not vary its unit rates within any ancillary or ambulatory center without prior
				  Commission approval if the Commission's Rate Review System prescribes a unit of
				  service for that center.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.03 - Types and Classes of Charges Which Cannot Be Changed Without Prior Commission Approval › Section 10.37.03.03 - Rates for Auxiliary Enterprises in Other Institutional Program

Current through Register Vol. 51, No. 14, July 12, 2024
Any hospital may change without prior approval of the
					 Commission its unit rate or rates in any auxiliary enterprise or other
					 institutional program as these centers are defined in the Commission's Uniform
					 Accounting and Reporting System and the Commission's Rate Review
					 System.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.03 - Types and Classes of Charges Which Cannot Be Changed Without Prior Commission Approval › Section 10.37.03.04 - Rates for New Services

Current through Register Vol. 51, No. 14, July 12, 2024
Any hospital may institute a rate for a new patient care
					 service if the rate is less than $100 and does not change the average charge
					 per unit of service for the patient care area in which the new patient care
					 service is being provided.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.03 - Types and Classes of Charges Which Cannot Be Changed Without Prior Commission Approval › Section 10.37.03.05 - Overcharges and Undercharges by Hospitals

Current through Register Vol. 51, No. 14, July 12, 2024
A. For purposes of this regulation, the
				  following definitions apply:
(1) "Overcharge"
				  means any charge for a hospital service under the jurisdiction of the
				  Commission that is in excess of its approved rate.
(2) "Undercharge" means any charge for a
				  hospital service under the jurisdiction of the Commission that is less than its
				  approved rate.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.03 - Types and Classes of Charges Which Cannot Be Changed Without Prior Commission Approval › Section 10.37.03.06 - Change in Hospital-Based Physician Compensation Source

Current through Register Vol. 51, No. 14, July 12, 2024
A. Each hospital shall promptly submit a rate
				  application to the Commission for a change in rates whenever the source of a
				  hospital-based physician's or physician support personnel's compensation has
				  been modified (for example, a hospital-based physician previously compensated
				  by the hospital commences billing fee for service or CRNA's previously
				  compensated by the hospital are replaced by physicians billing fee for
				  service.
B. Any rate application
				  submitted under the requirements of §A, of this regulation, shall relate
				  only to those changes in rates resulting from a modification in the source of a
				  hospital-based physician's or physician support personnel's
				  compensation.
C. Failure to submit
				  a rate application as required under §A, of this regulation, shall subject
				  the hospital to overcharge/undercharge penalties, as specified in Regulation
				  .05, of this chapter, as if those funds presently provided for in rates and
				  obtaining to the source of a hospital-based physician's compensation had not
				  originally been approved.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.03 - Types and Classes of Charges Which Cannot Be Changed Without Prior Commission Approval › Section 10.37.03.07 - Change in Education Programs

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Each hospital shall promptly submit a rate application to the Commission for a
				  change in rates whenever an educational program conducted by the hospital has
				  been modified (for example, the loss of a school of nursing program, the loss
				  of resident/intern program, or a decrease in the number of students enrolled in
				  the program).
B. Any rate
				  application submitted under the requirements of §A, of this regulation,
				  shall relate only to those changes in rates resulting from a modification in an
				  educational program conducted by a hospital.
C. Failure to submit a rate application as
				  required under §A, of this regulation, shall subject the hospital to the
				  overcharge/undercharge penalties as specified in Regulation .05, of this
				  chapter, as if those funds presently provided for in rates and obtaining to the
				  hospital's educational program had not originally been approved.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.03 - Types and Classes of Charges Which Cannot Be Changed Without Prior Commission Approval › Section 10.37.03.08 - Rates for Identified Physician Cost

Current through Register Vol. 51, No. 14, July 12, 2024
A. Any hospital which incurs or accrues costs
				  as a result of professional medical services which are personally rendered for
				  an individual patient by a physician, and which contribute to the diagnosis or
				  treatment of an individual patient, shall account for those costs as an
				  Identified Physician Cost in accordance with the "Accounting and Reporting
				  System for Hospitals" manual which is incorporated by reference in COMAR
				  10.37.01.02A(2).
B. All those identified physician costs shall
				  be charged to the individual patient as a separate charge and any bill rendered
				  to a patient for those costs shall clearly and separately itemize those
				  services and charges which are attributable to an identified physician
				  cost.
C. Any hospital may change
				  without prior approval of the Commission its unit or rates for any identified
				  physician cost as that center is defined in the Commission's "Accounting and
				  Reporting System for Hospitals" and the Commission's "Rate Review System" which
				  is incorporated by reference in COMAR
				  10.37.10.02B.
D. The provisions of this
				  regulation shall apply to all General Acute Care hospitals from October 1, 1983
				  and after that.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.03 - Types and Classes of Charges Which Cannot Be Changed Without Prior Commission Approval › Section 10.37.03.09 - Rates for Non-Physician Services Provided to Hospital Inpatients by Third-Party Contractors

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  non-physician inpatient service is defined as a hospital service under the
				  jurisdiction of the Commission provided by a third-party contractor to a
				  hospital inpatient off-site of the hospital. The charge for this service shall
				  be billed by the hospital.
B. The
				  allowable rate shall be equal to or less than the Statewide median or price
				  standard as developed by staff.
C.
				  The same rate on average shall be charged to all inpatients, regardless of
				  payor.
D. The sum of the rate
				  charged to a hospital inpatient and the professional component, if any, on
				  average, shall be not greater than that charged on average by the third-party
				  contractor to its other patients for the sum of both components of the same
				  service.
E. The hospital shall
				  provide an audit by an independent CPA that the contractor is in compliance
				  with § D of this regulation.
F. The hospital shall be at risk for any
				  payment made to a contractor in excess of the allowable charge determined in
				  accordance with § B of this regulation.
G. The Commission shall waive COMAR
				  10.37.10.07A,
				  which requires a rate application be filed at least 60 days before the opening
				  of a new service, for rate applications approved under this
				  regulation.
H. The sections of this
				  regulation are nonseverable and the entire regulation shall be null and void 60
				  days after a Court of competent jurisdiction rules that any portion or section
				  of this regulation is beyond the jurisdiction of the Commission.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.04 - Submission of Hospital Outpatient Data Set to the Commission › Section 10.37.04.01 - Collection and Submission of Data

Current through Register Vol. 51, No. 14, July 12, 2024
A. Effective January 1, 2014, each hospital
				  under the jurisdiction of the Health Services Cost Review Commission
				  (Commission) shall submit the data elements as published in the Maryland
				  Register and on the Commission's website (http://www.hscrc.maryland.gov) to the
				  Commission within 15 days following the last day of the month during which the
				  patient was discharged or died. The format for submission shall also be as
				  published in the Maryland Register and on the Commission's website.
B. A hospital under the jurisdiction of the
				  Commission may apply to the Commission for an exception or an extension to the
				  filing requirements of §A of this regulation as provided for in COMAR
				  10.37.01.02 and .03.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.04 - Submission of Hospital Outpatient Data Set to the Commission › Section 10.37.04.02 - 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) "Health Services Cost Review Commission
				  (Commission)" means the independent organization within the Department of
				  Health and Mental Hygiene that is responsible for reviewing and approving rates
				  for hospitals pursuant to Health-General Article, §19-201 et seq.,
				  Annotated Code of Maryland.
(2)
				  "Hospital outpatient" means an encounter or visit to a hospital that does not
				  result in an admission to the hospital.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.04 - Submission of Hospital Outpatient Data Set to the Commission › Section 10.37.04.03 - Privacy of Information

Current through Register Vol. 51, No. 14, July 12, 2024
Data submitted to the Commission in accordance with this
					 chapter are not public information pursuant to Health-General Article,
					 §19-207, Annotated Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.04 - Submission of Hospital Outpatient Data Set to the Commission › Section 10.37.04.04 - Summary Studies, Reports, Compilations

Current through Register Vol. 51, No. 14, July 12, 2024
Summary studies, reports, or other compilations developed
					 by the Commission or Commission staff from data submitted in accordance with
					 this chapter shall be public information provided that, consistent with
					 statutory law, disclosure is made in such a way that an individual patient or
					 physician is not identified.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.04 - Submission of Hospital Outpatient Data Set to the Commission › Section 10.37.04.05 - Corrections to Data

Current through Register Vol. 51, No. 14, July 12, 2024
The Commission shall prescribe the process for hospitals to
					 submit corrections and revisions to the data on its website.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.06 - Submission of Hospital Discharge Data Set to the Commission › Section 10.37.06.01 - Collection and Submission of Data

Current through Register Vol. 51, No. 14, July 12, 2024
A. Beginning on January 1, 2014, each
				  hospital under the jurisdiction of the Health Services Cost Review Commission
				  shall submit to the Commission:
(1) The data
				  elements required by this chapter within 15 days after the last day of the
				  month when the patient was discharged or died; and
(2) The reconciliation of inpatient data
				  between the discharge data and the financial data filed with the
				  Commission.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.06 - Submission of Hospital Discharge Data Set to the Commission › Section 10.37.06.01-1 - Out-of-State Hospitals

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  requirements for the collection and submission of data as described in
				  Regulation .01 of this chapter shall also apply to those non-federal acute care
				  hospitals located in Delaware, Pennsylvania, Virginia, West Virginia, and the
				  District of Columbia. Data submitted by these non-Maryland hospitals shall
				  relate exclusively to those patients who are Maryland residents.
B. The Commission may consider these
				  non-Maryland hospitals that otherwise provide discharge data as described in
				  Regulation .04 of this chapter to the public to be exempt from the data
				  requirements referred to in §A of this regulation. In addition,
				  non-Maryland hospitals may apply to the Commission for an exception or an
				  extension to either the form or to the manner of these data requirements as
				  provided for in COMAR
				  10.37.01.02A and
				  .03.
C. If a non-Maryland hospital
				  fails to submit discharge data on all Maryland patients as required by the
				  Commission, the matter shall be referred by the Commission to Maryland's
				  Medical Assistance Program for appropriate action.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.06 - Submission of Hospital Discharge Data Set to the Commission › Section 10.37.06.02 - Uniform Hospital Discharge Abstract Data Set

Current through Register Vol. 51, No. 14, July 12, 2024
Data Elements are as published in the Maryland Register and
					 on the Commission's website (http://www.hscrc.state.md.us).
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.06 - Submission of Hospital Discharge Data Set to the Commission › Section 10.37.06.03 - Privacy of Information

Current through Register Vol. 51, No. 14, July 12, 2024
Data submitted in accordance with this chapter are not
					 public information pursuant to Health-General Article, §19-207(d),
					 Annotated Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.06 - Submission of Hospital Discharge Data Set to the Commission › Section 10.37.06.04 - Summary Studies, Reports, Compilations

Current through Register Vol. 51, No. 14, July 12, 2024
Summary studies, reports, or other compilations developed
					 by the Commission or its staff from the data submitted in accordance with this
					 chapter shall be public information except that disclosure may not be made in a
					 way that the data furnished by a specific patient can be
					 identified.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.06 - Submission of Hospital Discharge Data Set to the Commission › Section 10.37.06.05 - Corrections to Data

Current through Register Vol. 51, No. 14, July 12, 2024
The Commission shall prescribe the process for hospitals to
					 submit corrections and revisions to the data on its website.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.07 - Health Information Exchange Data › Section 10.37.07.01 - Purpose

Current through Register Vol. 51, No. 14, July 12, 2024
The purpose of these regulations is to enable the
					 Commission to fully measure and compare hospital-specific performance on
					 readmissions and to use the data to further enhance and strengthen the
					 financial incentives linked with performance.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.07 - Health Information Exchange Data › Section 10.37.07.02 - 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) "Health Information Exchange (HIE)" means
				  an infrastructure that provides organizational and technical capabilities for
				  the exchange of protected health information electronically among entities not
				  under common ownership.
(2) "Health
				  Services Cost Review Commission (Commission)" means the independent
				  organization within the Department of Health and Mental Hygiene that is
				  responsible for reviewing and approving the rates for hospitals pursuant to
				  Health-General Article, §19-201 et seq., Annotated Code of
				  Maryland.
(3) "Maryland Health Care
				  Commission (MHCC)" means the agency established by Health-General Article,
				  Title 19, Subtitle 2, Annotated Code of Maryland.
(4) "Master Patient Index (MPI)" means an
				  electronic database, created by the State-Designated HIE that maintains a
				  unique index (or identifier) for every individual who has been, or who becomes,
				  registered as a patient at a Maryland hospital.
(5) "State-Designated HIE" means an HIE
				  designated by the MHCC.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.07 - Health Information Exchange Data › Section 10.37.07.03 - Hospital Participation

Current through Register Vol. 51, No. 14, July 12, 2024
Effective December 1, 2011, each hospital under the
					 jurisdiction of the Commission shall electronically connect to the
					 State-Designated HIE to enable the Commission to fully measure
					 hospital-specific performance on readmissions using the HIE's
					 MPI.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.07 - Health Information Exchange Data › Section 10.37.07.04 - Method of Connection

Current through Register Vol. 51, No. 14, July 12, 2024
Each hospital shall establish connectivity with the
					 State-Designated HIE over a secure and encrypted connection. This connectivity
					 shall be established using industry standards specified by the State-Designated
					 HIE.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.07 - Health Information Exchange Data › Section 10.37.07.05 - Collection and Submission of Master Patient Index Data

Current through Register Vol. 51, No. 14, July 12, 2024
Each hospital under the jurisdiction of the Commission
					 shall collect and electronically submit to the State-Designated HIE the data
					 elements as published in the Maryland Register and on the Commission's website
					 (http://www.hscrc.state.md.us). The format and data time period for submission
					 shall also be published in the Maryland Register and on the Commission's
					 website.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.07 - Health Information Exchange Data › Section 10.37.07.06 - Privacy of Information

Current through Register Vol. 51, No. 14, July 12, 2024
Data submitted in accordance with this chapter are not
					 public information pursuant to Health-General Article, §19-207(d),
					 Annotated Code of Maryland. The Commission will take reasonable steps to
					 safeguard and protect the confidentiality of protected health information
					 consistent with the Health Insurance Portability and Accountability Act of 1996
					 (HIPAA), the Maryland Confidentiality of Medical Records Act, and all other
					 applicable State and federal laws and regulations.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.07 - Health Information Exchange Data › Section 10.37.07.07 - Summary Studies, Reports, Compilations

Current through Register Vol. 51, No. 14, July 12, 2024
Summary studies, reports, or other compilations developed
					 by the Commission or its staff from the data submitted in accordance with this
					 chapter shall be public information except that disclosure may not be made in
					 such a way that the data furnished can lead to the identification of an
					 individual.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.07 - Health Information Exchange Data › Section 10.37.07.08 - Corrections to Data

Current through Register Vol. 51, No. 14, July 12, 2024
The Commission shall prescribe on its website the process
					 for a hospital to submit corrections and revisions to the data it has
					 submitted.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.07 - Health Information Exchange Data › Section 10.37.07.09 - Required Report

Current through Register Vol. 51, No. 14, July 12, 2024
Data submitted in accordance with this chapter shall be
					 considered a required report under COMAR
					 10.37.01.03N.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 5 › Subtitle 37 - HEALTH SERVICES COST REVIEW COMMISSION › Chapter 10.37.08 - Conduct of Public Meetings › Section 10.37.08.01 - Frequency

Current through Register Vol. 51, No. 14, July 12, 2024
Public meetings of the Commission may be held where and
					 when the Commission directs for any authorized purpose, provided, however, that
					 at least six meetings are held per year.