reglab/statecodes huggingface dataset:
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.02 - Data Reporting by Hospitals › Section 10.24.02.02 - Collection and Reporting of Hospital Data

Current through Register Vol. 51, No. 14, July 12, 2024
A. Hospitals shall submit accurate, timely,
				  and complete data which the Commission deems necessary for development of
				  methodologies, planning, analysis, and Certificate of Need reviews as requested
				  on a periodic basis.
B. The
				  information requested by and to be reported to the Commission may include, but
				  is not limited to, the following types of information:
(1) Aggregate facility data:
(a) Types of services offered;
(b) Licensed and operating hospital
				  beds;
(c) Utilization data;
				  and
(d) Staffing;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.02 - Data Reporting by Hospitals › Section 10.24.02.03 - Extensions

Current through Register Vol. 51, No. 14, July 12, 2024
A. A hospital may
				  request an extension of its submission date by letter to the Executive Director
				  of the Commission submitted not later than 15 days before a submission is due,
				  explaining the reason for the extension and a requested due date.
B. The Executive Director shall send a
				  response to the request for an extension to the hospital within 10 days of
				  receipt by the Commission.
C.
				  Except as provided in Regulation .02B(3) of this chapter, for hospitals meeting
				  the requirements of Regulation .02C of this chapter, extensions obtained in
				  accordance with procedures established by HSCRC shall be deemed in compliance
				  with this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.02 - Data Reporting by Hospitals › Section 10.24.02.04 - Sanctions

Current through Register Vol. 51, No. 14, July 12, 2024
Any hospital which fails to submit the information set
					 forth in this chapter within the required time frame, in the absence of an
					 extension granted by the Commission or HSCRC, may be subject to penalties as
					 described in COMAR 10.25.12.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.02 - Data Reporting by Hospitals › Section 10.24.02.05 - 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 for a specific patient can be
					 identified.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.03 - Maryland Long-Term Care Survey › Section 10.24.03.01 - 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) "Long-term care providers" means
				  providers of institutional andcommunity-based, long-term care services,
				  including those providers identified in COMAR 10.24.08.
(2) "Maryland Long-Term Care Survey" means
				  any written request for data from the Maryland Health Care Commission to
				  long-term care providers. This data may include:
(a) Types of services offered;
(b) Operating policies and limits on
				  operations;
(c) Revenue
				  data;
(d) Cost data;
(e) Changes in licensed capacity;
(f) Utilization data;
(g) Patient/client-specific data including:
(i) Demographic data;
(ii) Admission and discharge data;
(iii) Reimbursement data; and
(iv) Diagnostic and functional
				  data.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.03 - Maryland Long-Term Care Survey › Section 10.24.03.02 - Collection and Submission of Data

Current through Register Vol. 51, No. 14, July 12, 2024
A. Long-term care providers, on a periodic
				  basis as requested, shall submit accurate, timely, and complete data required
				  by the Commission for:
(1) The development of
				  methodologies and planning; and
(2)
				  Maintenance of the nursing home performance evaluation guide.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.03 - Maryland Long-Term Care Survey › Section 10.24.03.03 - Extensions

Current through Register Vol. 51, No. 14, July 12, 2024
A. A long-term care
				  provider may request an extension of its submission date, by letter, to the
				  Executive Director of the Commission, if the request:
(1) Is submitted not later than 15 days
				  before the submission is due;
(2)
				  Explains the reason for the extension; and
(3) Provides a requested due date.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.03 - Maryland Long-Term Care Survey › Section 10.24.03.04 - Summary Studies, Reports, and Compilations

Current through Register Vol. 51, No. 14, July 12, 2024
Summary studies, reports, or other compilations developed
					 by the Commission or the Commission's staff, from the data submitted in
					 accordance with this chapter, is public information, except that disclosure may
					 not be made in such a way that the data furnished for a specific patient/client
					 can be identified.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.04 - Freestanding Ambulatory Surgical Facilities Survey › Section 10.24.04.01 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. "Freestanding
				  ambulatory surgical facilities" means facilities or offices which operate
				  primarily for the purpose of providing surgical services to patients not
				  requiring overnight hospitalization, and which are required to obtain a license
				  under Health-General Article, § 19-3 B-02(a), Annotated Code of Maryland,
				  including:
(1) A center, service, office,
				  facility, or office of one or more health care practitioners or a group
				  practice, as defined in Health Occupations Article, §
											1-301, Annotated
				  Code of Maryland, that provides ambulatory surgical services in two or more
				  operating rooms, or in one operating room where the providers receive a
				  technical or facility fee;
(2) An
				  existing ambulatory surgical facility or office of one or more health care
				  practitioners that has received a Certificate of Need or a determination of
				  exemption from Certificate of Need coverage from the Maryland Health Resources
				  Planning Commission;
(3)
				  Medicare-certified ambulatory surgical facilities;
(4) Hospital-affiliated ambulatory surgical
				  facilities that are not subject to the Health Services Cost Review Commission's
				  ambulatory surgery survey set forth in COMAR 10.37.07; and
(5) Ambulatory surgical facilities owned by
				  or affiliated with health maintenance organizations.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.04 - Freestanding Ambulatory Surgical Facilities Survey › Section 10.24.04.02 - Collection and Submission of Data

Current through Register Vol. 51, No. 14, July 12, 2024
A. All freestanding ambulatory surgical
				  facilities shall submit accurate, timely, and complete data required by the
				  Commission for the development of methodologies and planning on a periodic
				  basis as requested.
B. If
				  patient-specific data is requested, providers shall assign to each patient an
				  identification number in a format specified by the Commission. Providers shall
				  retain a listing of all patient identifier codes for 5 years to permit the
				  Commission to follow up on unclear responses.
C. All freestanding ambulatory surgical
				  facilities shall prepare and submit to the Commission within the time frames
				  specified in the survey instrument, and in a machine-readable format specified
				  by the Commission, data responses to the freestanding ambulatory surgical
				  facilities survey. Failure to submit these responses in a timely fashion may
				  subject the facility to penalties as described in COMAR 10.25.12. If the
				  respondent cannot provide the data within the specified time frames, a written
				  request for extension shall be submitted to the Commission.
D. The data requested from freestanding
				  ambulatory surgical facilities in a survey required under this regulation shall
				  be coordinated with the reporting requirements of the Health Care Access and
				  Cost Commission to ensure that the survey is compatible with and does not
				  duplicate information collected by the Health Care Access and Cost Commission.
				  A survey required under this regulation does not replace any existing data
				  requirements of the Department of Health and Mental Hygiene or any agencies or
				  commissions of the State.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.05 - Continuation of Authority to Provide Non-Primary PCI Through Participation in the Follow-On C-PORT E Registry › Section 10.24.05.01 - 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) "Commission" means the Maryland Health
				  Care Commission.
(2) "C-PORT study"
				  means the randomized clinical research trial that was conducted by the Atlantic
				  Cardiovascular Patient Outcomes Team (C-PORT) to determine whether nonprimary
				  PCI performed in hospitals without on-site cardiac surgery services is as safe
				  and effective as nonprimary PCI performed in hospitals with on-site cardiac
				  surgery services.
(3) "Nonprimary
				  percutaneous coronary intervention" means PCI capable of relieving coronary
				  vessel narrowing associated with coronary artery disease unrelated to
				  ST-segment elevation myocardial infarction and includes elective PCI.
(4) "Percutaneous coronary intervention
				  (PCI)" means a variety of catheter-based techniques, including balloon
				  angioplasty, capable of relieving coronary vessel narrowing.
(5) "Primary PCI" means PCI capable of
				  relieving coronary vessel narrowing associated with ST-segment elevation
				  myocardial infarction (STEMI) and is also known as emergency PCI.
(6) "Regional service area" means the area
				  used for planning for cardiac surgery and PCI services, as provided in the
				  State Health Plan, COMAR 10.24.17.
(7) "Registry" means the C-PORT E Registry of
				  Non-Primary PCI that follows-on the C-PORT E Study of Non-Primary PCI and that
				  is:
(a) Maintained by the Principal
				  Investigator in the C-PORT E Study of Non-Primary PCI;
(b) Overseen by the Johns Hopkins
				  Institutional Review Board;
(c)
				  Overseen by a Data and Safety Monitoring Board.
(8) "STEMI" means coronary vessel narrowing
				  associated with ST-segment elevation myocardial infarction.
(9) "Waiver to perform nonprimary PCI" means
				  a time-limited exemption from the requirements of COMAR 10.24.17.04E, Policy
				  5.0, by which the Commission permitted an acute care hospital without on-site
				  cardiac surgery services to perform nonprimary PCI services within the C-PORT
				  study.
(10) "Waiver to perform
				  primary PCI" means a time-limited exemption from the requirements of COMAR
				  10.24.17.04E, Policy 5.0, by which the Commission permits an acute care
				  hospital without on-site cardiac surgery services to perform primary PCI
				  services.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.05 - Continuation of Authority to Provide Non-Primary PCI Through Participation in the Follow-On C-PORT E Registry › Section 10.24.05.02 - Purpose and Scope

Current through Register Vol. 51, No. 14, July 12, 2024
A. In
				  2007, the Commission established a one-time process by which certain licensed
				  acute general hospitals without on-site cardiac surgery services were awarded
				  time-limited research waivers from the requirements of COMAR 10.24.17.04E,
				  Policy 5.0, and were permitted to provide non-primary PCI services as part of
				  the C-PORT E study to assess the safety and efficacy of providing non-primary
				  PCI services for certain patient groups without on-site cardiac surgery, as
				  provided in COMAR 10.24.17.04E, Policy 5.3.
B. In 2007, the Commission determined that
				  the C-PORT E study offered a means of acquiring information to support future
				  evidence-based State health care policy and planning with regard to
				  cardiovascular services.
C. In
				  2011, after the C-PORT E research study concluded active enrollment, the
				  Commission continued the research waiver of each hospital that was in good
				  standing, thereby permitting each such hospital to continue to offer nonprimary
				  PCI services while the required follow-up data on C-PORT E patients was
				  collected and analyzed, provided that the hospital continued to perform
				  non-primary PCI under the limitations and for the Registry term provided in
				  prior regulations until such time as the Commission has the information from
				  the research study that is needed to guide State policy about the regulation of
				  non-primary PCI.
D. Health-General
				  Article, §19-120.1(d), Annotated Code of Maryland, effective July 1, 2012,
				  provides that a certificate of conformance to establish a nonprimary PCI
				  service is not required for a Registry hospital that the Commission determines,
				  on or before December 31, 2012, continues to be in compliance with:
(1) Commission regulations, including COMAR
				  10.24.17, Table A-1; and
(2) The
				  requirements of the Registry.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.05 - Continuation of Authority to Provide Non-Primary PCI Through Participation in the Follow-On C-PORT E Registry › Section 10.24.05.03 - Conditions for Maintaining Authority to Perform Nonprimary PCI and Participation in Registry

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  Registry hospital shall maintain compliance with the following requirements:
(1) A Registry hospital shall meet the
				  criteria established in the manual of operations of the C-PORT E Registry of
				  Non-Primary PCI that follows-on the C-PORT E Study of Non-Primary PCI;
				  and
(2) A Registry hospital shall
				  continue to satisfy the following requirements:
(a) For institutional resources:
(i) Maintain a patient prioritization plan
				  that guarantees that a patient who requires primary PCI for STEMI is given
				  immediate preference for care in the cardiac catheterization
				  laboratory;
(ii) Maintain a formal
				  and properly executed written agreement with a tertiary care center that
				  provides for the unconditional transfer of each non-primary PCI patient who
				  requires additional care, including emergent or non-primary cardiac surgery or
				  PCI, from the applicant hospital to the tertiary institution; and
(iii) Maintain its agreement with an advanced
				  cardiac support emergency medical services provider that guarantees arrival of
				  the air or ground ambulance at the applicant hospital within 30 minutes of a
				  request for non-primary PCI patient transport by the applicant;
(b) For physician resources, A
				  Registry hospital shall maintain adequate staff necessary for the provision of
				  primary and non-primary PCI services, including a minimum of three
				  interventional cardiologists who:
(i) Meet the
				  requirements in the C-PORT E study research protocol and in COMAR 10.24.17,
				  Table A-1;
(ii) Can be available
				  on-site within 30 minutes when on call; and
(iii) Agree to abide by the Device Selection
				  Criteria in the applicable Manual of Operations;
(c) For minimum volumes, A Registry hospital
				  shall maintain a minimum volume of 200 PCI procedures during each year of its
				  waiver;
(d) For follow-up of
				  patients enrolled in the C-PORT E study, A Registry hospital shall maintain a
				  patient follow-up rate of 98 percent; and
(e) For follow-up of patients enrolled in the
				  Registry, A Registry hospital shall commit to patient follow-up through
				  hospital discharge.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.05 - Continuation of Authority to Provide Non-Primary PCI Through Participation in the Follow-On C-PORT E Registry › Section 10.24.05.04 - Term

Current through Register Vol. 51, No. 14, July 12, 2024
A hospital's ability to provide non-primary PCI [by virtue
					 of the extension of its research waiver and entry into] in the Registry expires
					 on the earlier of:
A. The date upon
				  which the Commission determines, through implementation in an update to COMAR
				  10.24.17 or other appropriate regulation, that the results of the C-PORT E
				  study are sufficiently complete to guide public policy;
B. A finding by the Commission that the
				  C-PORT E study did not produce reliable results to guide public policy;
				  or
C. A finding by the Commission
				  that the evidence is insufficient to change Policy 5.0 of COMAR 10.24.17.04EE
				  that requires non-primary PCI to be performed in hospitals with on-site cardiac
				  surgery services.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.05 - Continuation of Authority to Provide Non-Primary PCI Through Participation in the Follow-On C-PORT E Registry › Section 10.24.05.05 - Performance and Monitoring

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Each Registry hospital shall provide data to the Commission in a form and
				  manner acceptable to the Commission.
B. Each Registry hospital shall submit
				  periodic progress reports in a format specified by the Commission and, at the
				  conclusion of the research project and, if requested, at the end of the
				  Registry, submit final reports in a form and manner acceptable to the
				  Commission, as provided in COMAR 10.24.17.05D(2)(d).
C. Each Registry hospital shall authorize the
				  C-PORT E study principal investigator and the Registry coordinator to provide
				  data requested by the Commission.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.06 - Data Reporting by Freestanding Medical Facilities › Section 10.24.06.01 - 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) "Commission" means the Maryland Health
				  Care Commission.
(2) "Freestanding
				  medical facility" has the meaning stated in Health-General Article, § 19-3
				  A-01, Annotated Code of Maryland, and COMAR 10.07.08.
(3) "Freestanding medical facility pilot
				  project" means one freestanding medical facility pilot project under
				  Health-General Article, § 19-3 A-07, Annotated Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.06 - Data Reporting by Freestanding Medical Facilities › Section 10.24.06.02 - Collection and Reporting of Data

Current through Register Vol. 51, No. 14, July 12, 2024
A. A freestanding medical facility shall
				  submit accurate, timely, and complete data which the Commission considers to be
				  necessary for planning and analysis purposes, as requested by the
				  Commission.
B. The information
				  requested by the Commission may include, but is not limited to, the following
				  types of information:
(1) Aggregate facility
				  data as follows:
(a) Service
				  configuration;
(b)
				  Location;
(c) Operational
				  characteristics; and
(d)
				  Utilization; and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.06 - Data Reporting by Freestanding Medical Facilities › Section 10.24.06.03 - Freestanding Medical Facility Pilot Project

Current through Register Vol. 51, No. 14, July 12, 2024
The freestanding medical facility pilot project shall
					 report data to the Commission as specified under Regulation .02 of this
					 chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.06 - Data Reporting by Freestanding Medical Facilities › Section 10.24.06.04 - Summary Studies, Reports, and Compilations

Current through Register Vol. 51, No. 14, July 12, 2024
A. Subject to §B of this regulation,
				  summary studies, reports, or other compilations developed by the Commission
				  from the data submitted in accordance with this chapter are public
				  information.
B. Disclosure under
				  §A of this regulation may not be made in such a way that the data
				  furnished for a specific patient can be identified.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.07 - State Health Plan for Facilities and Services: Residential Treatment Centers › Section 10.24.07.01 - Incorporation by Reference

Current through Register Vol. 51, No. 14, July 12, 2024
The State Health Plan for Facilities and Services:
					 Residential Treatment Centers is incorporated by reference.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.08 - State Health Plan for Facilities and Services: Special Hospitals - Chronic Services › Section 10.24.08.01 - Incorporation by Reference

Current through Register Vol. 51, No. 14, July 12, 2024
The State Health Plan for Facilities and Services: Special
					 Hospital - Chronic Services is incorporated by reference.
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					 to view Image
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.09 - State Health Plan for Facilities and Services: Specialized Health Care Services - Acute Inpatient Rehabilitation Services › Section 10.24.09.01 - Incorporation by Reference

Current through Register Vol. 51, No. 14, July 12, 2024
A. In
				  this chapter, the following documents are incorporated by reference.
B. Documents Incorporated.
(1) The State Health Plan for Facilities and
				  Services: Specialized Health Care Services - Acute Inpatient Rehabilitation
				  Services.
(2) Supplement No.
				  1.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.10 - State Health Plan for Facilities and Services: Acute Care Hospital Services › Section 10.24.10.01 - Incorporation by Reference

Current through Register Vol. 51, No. 14, July 12, 2024
The State Health Plan for Facilities and Services: Acute
					 Care Hospital Services is incorporated by reference.
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					 to view Image
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.11 - State Health Plan for Facilities and Services: General Surgical Services › Section 10.24.11.01 - Incorporation by Reference

Current through Register Vol. 51, No. 14, July 12, 2024
The State Health Plan for Facilities and Services: General
					 Surgical Services is incorporated by reference.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.12 - State Health Plan for Facilities and Services: Acute Hospital Inpatient Obstetric Services › Section 10.24.12.01 - Incorporation by Reference

Current through Register Vol. 51, No. 14, July 12, 2024
The State Health Plan for Facilities and Services: Acute
					 Hospital Inpatient Obstetric Services (Supplement No. 1) is incorporated by
					 reference.
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					 to view Image
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.13 - State Health Plan for Facilities and Services: Hospice Services › Section 10.24.13.01 - Incorporation by Reference

Current through Register Vol. 51, No. 14, July 12, 2024
The State Health Plan for Facilities and Services: Hospice
					 Services is incorporated by reference.
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					 to view Image
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.14 - State Health Plan for Facilities and Services: Alcoholism and Drug Abuse Intermediate Care Facility Treatment Services › Section 10.24.14.01 - Incorporation by Reference

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this
				  chapter, the following documents are incorporated by reference.
B. Documents Incorporated.
(1) The State Health Plan for Facilities and
				  Services: Alcoholism and Drug Abuse Intermediate Care Facility Treatment
				  Services.
(2) Supplement No. 1.
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					 to view Image
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.15 - State Health Plan for Facilities and Services: Specialized Health Care Services-Organ Transplant Services › Section 10.24.15.01 - Incorporation by Reference

Current through Register Vol. 51, No. 14, July 12, 2024
The State Health Plan for Facilities and Services:
					 Specialized Health Care Services - Organ Transplant Services is incorporated by
					 reference.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.16 - State Health Plan for Facilities and Services: Home Health Agency Services › Section 10.24.16.01 - Incorporation by Reference

Current through Register Vol. 51, No. 14, July 12, 2024
The State Health Plan for Facilities and Services: Home
					 Health Agency Services is incorporated by reference.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.17 - State Health Plan for Facilities and Services: Specialized Health Care Services - Cardiac Surgery and Percutaneous Coronary Intervention Services › Section 10.24.17.01 - Incorporation by Reference

Current through Register Vol. 51, No. 14, July 12, 2024
The State Health Plan for Facilities and Services:
					 Specialized Health Care Services - Cardiac Surgery and Percutaneous Coronary
					 Intervention Services is incorporated by reference.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.18 - State Health Plan for Facilities and Services: Specialized Health Care Services-Neonatal Intensive Care Services › Section 10.24.18.01 - Incorporation by Reference

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this
				  chapter, the following documents are incorporated by reference.
B. Documents Incorporated.
(1) The State Health Plan: Specialized Health
				  Care Services - Neonatal Intensive Care Services.
(2) Supplement No. 1.
(3) Supplement No. 2.
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					 to view Image
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.19 - State Health Plan for Facilities and Services: Freestanding Medical Facilities › Section 10.24.19.01 - Incorporation by Reference

Current through Register Vol. 51, No. 14, July 12, 2024
The State Health Plan for Facilities and Services:
					 Freestanding Medical Facilities is incorporated by reference.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.20 - State Health Plan for Facilities and Services: Comprehensive Care Facility Services › Section 10.24.20.01 - Incorporation by Reference

Current through Register Vol. 51, No. 14, July 12, 2024
The State Health Plan for Facilities and Services:
					 Comprehensive Care Facility Services is incorporated by
					 reference.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 24 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.24.21 - State Health Plan for Facilities and Services: Acute Psychiatric Services › Section 10.24.21.01 - Incorporation by Reference

Current through Register Vol. 51, No. 14, July 12, 2024
The State Health Plan for Facilities and Services: Acute
					 Psychiatric Services is incorporated by reference.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 25 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.25.01 - Small Employer Health Benefits Plan Premium Subsidy Program › Section 10.25.01.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
A. This chapter
				  only applies to the Small Employer Health Benefit Plan Premium Subsidy Program
				  as authorized by Insurance Article, §§ 15-12 A-01-15-12A-05,
				  Annotated Code of Maryland.
B.
				  Premium subsidies authorized under this chapter shall only be provided for
				  health benefit plans that also comply with the provisions of COMAR
				  31.11.06.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 25 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.25.01 - Small Employer Health Benefits Plan Premium Subsidy Program › Section 10.25.01.03 - Purpose

Current through Register Vol. 51, No. 14, July 12, 2024
The Premium Subsidy Program is designed to:
A. Provide an incentive for small employers
				  to offer and maintain a small employer health benefit plan for their
				  employees;
B. Help low and moderate
				  wage employees of small employers afford health benefit plan
				  premiums;
C. Promote access to
				  health care services, particularly preventive health care services that might
				  reduce the need for emergency room care and other acute care services;
				  and
D. Reduce uncompensated care in
				  hospitals and other health care settings.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 25 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.25.01 - Small Employer Health Benefits Plan Premium Subsidy Program › Section 10.25.01.04 - Employer Eligibility

Current through Register Vol. 51, No. 14, July 12, 2024
A. A small
				  employer is eligible to receive a premium subsidy if, at the time of initial
				  application for the premium subsidy, the employer:
(1) Meets the requirements under Insurance
				  Article, §
											15-1203(b)(i),
				  Annotated Code of Maryland;
(2) Has
				  been in operation for at least 12 months and, if required to file quarterly
				  wage reports, has filed quarterly wage reports with the Maryland Department of
				  Labor, Licensing, and Regulation for, at a minimum, the three calendar quarters
				  immediately preceding initial application for the premium subsidy;
(3) Has not offered a health benefit plan to
				  its employees for at least 12 consecutive months immediately before initial
				  application for the premium subsidy;
(4) Employed at least two but not more than
				  nine eligible employees:
(a) At the time the
				  employer's subsidy application is entered into the Commission registry;
				  and
(b) On at least 50 percent of
				  its working days during the preceding calendar quarter;
(5) Has an average wage of business that does
				  not exceed the maximum average wage for new applications;
(6) Agrees to offer a health benefit plan to
				  its eligible employees that contains a wellness benefit;
(7) Commits to establish a Section 125
				  payroll deduction plan within 60 days of enrollment in the Premium Subsidy
				  Program;
(8) Completes and signs
				  the subsidy application; and
(9)
				  Complies with the other regulations of this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 25 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.25.01 - Small Employer Health Benefits Plan Premium Subsidy Program › Section 10.25.01.05 - Employee Eligibility

Current through Register Vol. 51, No. 14, July 12, 2024
A. An
				  eligible employee of a small employer is eligible to receive the premium
				  subsidy if, at the time of initial application and at the time of each renewal
				  application:
(1) The small employer meets the
				  requirements of Regulation .04 of this chapter;
(2) The eligible employee enrolls in a health
				  benefit plan offered by the small employer;
(3) The eligible employee completes and signs
				  the subsidy application; and
(4)
				  The eligible employee complies with the regulations of this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 25 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.25.01 - Small Employer Health Benefits Plan Premium Subsidy Program › Section 10.25.01.06 - Employee Selection of Other Than Individual Coverage

Current through Register Vol. 51, No. 14, July 12, 2024
A. An eligible employee may apply for a
				  premium subsidy for other than individual coverage if the eligible employee's
				  family adjusted gross income does not exceed the maximum income for other than
				  individual coverage.
B. An eligible
				  employee applying for a premium subsidy for other than individual coverage
				  shall comply with requirements considered necessary by the Commission to verify
				  the reported family adjusted gross income.
C. An eligible employee with a family
				  adjusted gross income greater than the maximum income for other than individual
				  coverage is eligible for the premium subsidy for individual coverage if the
				  eligible employee satisfies the conditions of Regulation .05 of this
				  chapter.
D. If a carrier offers
				  coverage for domestic partners and the employer selects that coverage, a
				  domestic partner is a spouse for the purposes of this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 25 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.25.01 - Small Employer Health Benefits Plan Premium Subsidy Program › Section 10.25.01.07 - Initial Application and Enrollment

Current through Register Vol. 51, No. 14, July 12, 2024
A. Initial application for the Premium
				  Subsidy Program shall be made according to the procedures designated by the
				  Commission and published on the Commission's official website.
B. The small employer shall complete an
				  initial application published on the Commission's official website that
				  includes the following:
(1) Information
				  necessary to establish the eligibility of the small employer and the amount of
				  the available subsidy;
(2) An
				  agreement by the small employer that the employer will establish a Section 125
				  payroll deduction plan within 60 days of enrollment;
(3) An acknowledgement that:
(a) The Commission may employ an auditor to
				  examine an enrolled employer's records to determine the accuracy of statements
				  made on the application;
(b)
				  Incorrect statements may be cause for exclusion from the Premium Subsidy
				  Program; and
(c) Fraudulent
				  applications may be referred for prosecution;
(4) An agreement to cooperate fully with the
				  Commission and the Commission's auditor; and
(5) An affidavit signed by the small employer
				  that the information in the initial application is correct and that the small
				  employer meets the eligibility criteria for receipt of a premium
				  subsidy.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 25 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.25.01 - Small Employer Health Benefits Plan Premium Subsidy Program › Section 10.25.01.08 - Application and Enrollment of Additional Employees During the Policy Year

Current through Register Vol. 51, No. 14, July 12, 2024
A. A newly hired
				  eligible employee of an enrolled employer, an employee who becomes an eligible
				  employee during the policy year, or an eligible employee who qualifies for a
				  special enrollment period under
				  29 U.S.C. §
											1181(f) is eligible to be
				  enrolled in the Premium Subsidy Program during the policy year under the terms
				  established at the beginning of the policy year, unless either:
(1) The participating carrier recalculates
				  premiums charged to the enrolled employer; or
(2) The Premium Subsidy Program is closed to
				  registration of additional employees of enrolled employers under Regulation .19
				  of this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 25 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.25.01 - Small Employer Health Benefits Plan Premium Subsidy Program › Section 10.25.01.09 - Renewal Application

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  enrolled employer shall complete a renewal application published on the
				  Commission's official website. The renewal application shall include:
(1) Information necessary to establish the
				  eligibility of the employer and the amount of the available premium
				  subsidy;
(2) An acknowledgement
				  that the Commission may request that certain records be produced and made
				  available;
(3) An affidavit signed
				  by the enrolled employer that the information in the renewal application is
				  correct and that the enrolled employer meets the eligibility criteria for
				  receipt of a premium subsidy; and
(4) An affidavit signed by the enrolled
				  employer that the enrolled employer has had a Section 125 payroll deduction
				  plan in place over the 10-month period immediately preceding the planned date
				  of premium subsidy renewal.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 25 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.25.01 - Small Employer Health Benefits Plan Premium Subsidy Program › Section 10.25.01.10 - Calculation of the Average Wage of Business

Current through Register Vol. 51, No. 14, July 12, 2024
A. The average wage of business is the
				  average of the wage for each of the eligible employees of the
				  business.
B. For employees who are
				  eligible owners, the wage used in calculating the average wage of business
				  shall be the greater of the following:
(1)
				  The lesser of:
(a) The eligible owner's
				  countable wage; or
(b) The eligible
				  owner's adjusted gross income; or
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 25 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.25.01 - Small Employer Health Benefits Plan Premium Subsidy Program › Section 10.25.01.11 - Calculation of the Premium Subsidy

Current through Register Vol. 51, No. 14, July 12, 2024
A. At the time of initial application for the
				  Premium Subsidy Program, the premium subsidy is the lower of:
(1) The amount from the maximum subsidy table
				  applicable for the average wage of business and the type of coverage chosen by
				  the employee; or
(2) 50 percent of
				  the sum of:
(a) The premium for the type of
				  coverage chosen by the eligible employee;
(b) The employer's eligible HSA contribution,
				  if any; and
(c) The employee's
				  eligible HSA contribution, if any.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 25 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.25.01 - Small Employer Health Benefits Plan Premium Subsidy Program › Section 10.25.01.12 - Change in Employer's Federal Employer Identification Number

Current through Register Vol. 51, No. 14, July 12, 2024
If the federal employer identification number of the
					 employer changes, because the company changes its form of ownership or for any
					 other reason, the company may petition the Commission for continued eligibility
					 for the Premium Subsidy Program under the new federal employer identification
					 number. The Executive Director shall rule on the petition within 14 days of the
					 receipt of all information necessary to make the determination of continued
					 eligibility.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 25 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.25.01 - Small Employer Health Benefits Plan Premium Subsidy Program › Section 10.25.01.13 - Change of Participating Carrier by the Enrolled Employer

Current through Register Vol. 51, No. 14, July 12, 2024
A. If the enrolled employer elects to change
				  coverage from one participating carrier to a different participating carrier at
				  the time of policy renewal and premium subsidy renewal, the enrolled employer
				  shall identify the new carrier in the renewal application.
B. If the enrolled employer elects to change
				  coverage from one participating carrier to a different participating carrier at
				  any time other than the time of policy renewal and premium subsidy renewal, the
				  enrolled employer shall notify the Commission at least 30 days in advance of
				  the change and shall complete the renewal application specified under
				  Regulation .09 of the chapter for the new health benefit plan.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 25 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.25.01 - Small Employer Health Benefits Plan Premium Subsidy Program › Section 10.25.01.14 - Payment of the Premium Subsidy

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Payment of the total premium subsidy is subject to the following:
(1) The total premium subsidy for each
				  enrolled employer shall be paid to the subsidy administrator and shall reduce
				  the total premium owed by the enrolled employer;
(2) The enrolled employer shall pass the
				  employee premium subsidy to the enrolled employee in the form of reduced
				  payroll deductions for the health benefit plan;
(3) The employee premium subsidy is
				  calculated as the premium subsidy for that employee's coverage multiplied by
				  the ratio of the sum of the employee premium plus the employee's eligible HSA
				  contribution, if any, to the sum of the premium, the employer's eligible HSA
				  contribution, if any, and the employee's eligible HSA contribution, if
				  any;
(4) Each month, the subsidy
				  administrator or participating carrier shall invoice the enrolled employer for
				  the total premium due for the subsequent month, minus the subsidy amount for
				  enrolled employees registered in the Commission registry;
(5) At the time the enrolled employer is
				  invoiced for the premium by the subsidy administrator or participating carrier,
				  the subsidy administrator or participating carrier shall submit an invoice to
				  the Commission, in a format set forth in the written participation agreement
				  between the Commission and the participating carrier, that lists, for each
				  enrolled employer, the invoiced premium and the premium subsidy due for each
				  enrolled employee;
(6) The
				  Commission shall promptly forward the invoice to the Comptroller for payment of
				  the premium subsidy to the subsidy administrator or participating
				  carrier;
(7) The subsidy payment is
				  accounted for separately from other funds and is not considered to be earned by
				  the participating carrier until the participating carrier has received the
				  corresponding premium payment from the enrolled employer; and
(8) Each month, the subsidy administrator or
				  participating carrier shall provide to the Commission, in a format set forth in
				  the written participation agreement between the Commission and the
				  participating carrier, the following:
(a) A
				  list of all premium payments received from enrolled employers during the
				  previous month, including the coverage period for which each premium payment
				  was made; and
(b) A list of the
				  enrolled employees covered by each premium payment.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 25 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.25.01 - Small Employer Health Benefits Plan Premium Subsidy Program › Section 10.25.01.15 - Carrier Requirements

Current through Register Vol. 51, No. 14, July 12, 2024
A. To
				  participate in the Premium Subsidy Program, a carrier shall meet the definition
				  of a participating carrier under Regulation .02B(34) of this chapter.
B. The written participation agreement shall
				  include:
(1) The carrier's designation of its
				  subsidy administrator or administrators;
(2) The Commission's requirement for monthly
				  data submissions regarding premium subsidy recipients covered by the
				  participating carrier; and
(3) The
				  participating carrier's agreement to cooperate with any audits of the Premium
				  Subsidy Program.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 25 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.25.01 - Small Employer Health Benefits Plan Premium Subsidy Program › Section 10.25.01.16 - Licensed Insurance Producer Requirements

Current through Register Vol. 51, No. 14, July 12, 2024
A licensed insurance producer in connection with the sale,
					 solicitation, or negotiation of a health benefit plan to a small employer who
					 meets the requirements described in Regulation .04 of this chapter
					 shall:
A. Provide information to the
				  small employer about wellness benefits;
B. At the time of initial application or at
				  the time of policy renewal, advise the small employer to consult a tax advisor
				  about the tax advantages of a Section 125 payroll deduction plan;
C. For small employers providing an HSA
				  compatible health benefit plan to their employees, advise the small employers
				  of the designated financial institution required to be utilized for
				  administration of the employee's HSA account, if the HSA contributions are to
				  be included in the calculation of the total premium subsidy; and
D. Ensure completion of the required employer
				  and employee applications including any required affidavits, and forward the
				  original copies of the applications to the carrier's subsidy
				  administrator.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 25 - MARYLAND HEALTH CARE COMMISSION › Chapter 10.25.01 - Small Employer Health Benefits Plan Premium Subsidy Program › Section 10.25.01.17 - Premium Subsidy Program Design Factors

Current through Register Vol. 51, No. 14, July 12, 2024
A. At least once each year, the Commission
				  shall publish on the Commission's official website for informal public comment
				  a list of the proposed Premium Subsidy Program design factors, including:
(1) Eligible owner's countable
				  wage;
(2) Employee's eligible HSA
				  contribution;
(3) Maximum average
				  wage for new applications;
(4)
				  Maximum average wage for participants;
(5) Maximum eligible firm size;
(6) Maximum income for other than individual
				  coverage;
(7) Maximum subsidy
				  table;
(8) Minimum countable
				  wage;
(9) Size factor;
				  and
(10) Subsidy program
				  cap.