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Synopsis
Compliance
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The purpose of this action is to update the Maryland Medical Assistance Program Professional Service Provider Manual and the Professional Services Fee Schedule incorporated by reference in this regulation. The changes to the Manual update CPT/HCPCS codes for professional services, clarify FFS preauthorization procedures, and adjust the Evaluation and Management (E&M) fee schedule to align with the FY 2020 budget, which provides funds to maintain physician reimbursement rates for E&M services at 93 percent of Medicare.​

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10.09.02.07.docx10.09.02.07.docx Maryland Register

7/5/20198/5/2019
  

The purpose of this action is to:

(1) Amend the requirements for testing English competency of foreign nursing school graduates whose nursing education was not taught in English;

(2) Repeal the waiver for a clinical nursing education requirement for a nurse applying for a license by endorsement in this State;

(3) Define competency in reading, speaking, writing, and listening in accordance with the Nurse Licensure Compact.

(4) Define the minimal passing scores for the two English language competency tests that the Board recognizes; and

(5) Repeal, in accordance with the Sunset Provision, effective September 30, 2018, for Health Occupations Article, §8-307(c), Annotated Code of Maryland, the requirement that the Board waive the supervised clinical learning experience requirement for nurse endorsement applicants who attended a nursing program without a supervised clinical learning experience requirement.​

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10.27.01.01, .05, and .10.docx10.27.01.01, .05, and .10.docx Maryland Register

7/5/20198/5/2019
  

The purpose of this action is to conform regulations to changes made to cottage food businesses and micro markets by House Bill 1087/Senate Bill 758 and House Bill 1106, respectively, passed during the 2018 General Assembly session. The proposed action amends definitions related to cottage foods and micro markets, adds new methods for the sale of cottage foods, and promulgates a new regulation related to the requirements of micro markets.

This proposal also makes several corrections, clarifications, and deletions of obsolete text. These include conforming storage temperature requirements for crab meat to COMAR 10.15.02; specifying food disposal or reconditioning procedures; clarifying thawing procedures for potentially hazardous foods; and allowing for outdoor cooking at mobile food service facilities.​

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6/7/20197/8/2019
  

The purpose of this action is to:

(1) Simplify the permitting requirements for construction, alteration, repair, and replacement of parts for pools and spas;

(2) Reduce the frequency of inspections for pools and spas with a demonstrated history of compliance;

(3) Clarify and add specificity to the conditions which may warrant the suspension of an operating permit;

(4) Add a mechanism by which the Department can ensure regulations are implemented and enforced consistently across the State; and

(5) Make general corrections and revisions to clarify the regulatory requirements of pools and spas.​

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10.17.01.docx10.17.01.docx Maryland Register

1/18/20192/19/2019
  

The purpose of this action is to allow any and all provider types to receive reimbursement for services rendered via telehealth if the provider’s professional licensing board includes telehealth in its scope of practice. Additionally, this proposal aligns the delivery of telehealth services to that of services delivered in-person by removing the telehealth transmission fee that functions as an enhanced reimbursement for services delivered.​

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6/7/20198/8/2019
  

The purpose of this action is to improve patient safety, to authorize other health occupations under the Board’s jurisdiction to do telehealth, and to reflect technological innovations and the increasing use of telehealth in more settings. These regulations also implement the requirements of Ch. 610, Acts of 2017 (S.B. 1106) Health Care Practitioners—Use of Teletherapy.​

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10.32.01.12 and 10.32.07.docx10.32.01.12 and 10.32.07.docx Maryland Register

4/12/20195/13/20198/2/2019FINAL AAP8/12/2019
  

The purpose of this action is to establish a new teletherapy chapter pursuant to Ch. 610, Acts of 2017.​

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10.42.10.01-.06.docx10.42.10.01-.06.docx Maryland Register

6/21/20197/22/2019
  

The purpose of this action is to:

(1) Clarify the role of the Overdose Response Program;

(2) Repeal certification requirements within the Overdose Response Program;

(3) Update requirements for a private or public entity to conduct education and training on opioid overdose recognition and response; and

(4) Update record and reporting requirements.​

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10.47.08.01-.10.docx10.47.08.01-.10.docx Maryland Register

1/18/20192/19/2019
  

The purpose of this action is to expand the evaluation criteria for medical cannabis licensing applications to address the needs of minority and women applicants. The proposed regulation aims to reduce barriers to entry and encourage participation in the medical cannabis industry by minorities and women.​

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12/21/20181/22/20198/2/2019FINAL AAP8/12/2019
  

The purpose of this action is to update the monthly rate to comply with the Fiscal Year 2020 budget, which provides for a 3.5 percent rate increase for Health Home providers beginning July 1, 2019.​

10.09.33.09 to.doc10.09.33.09 to.doc Draft Regulation Text
10.09.33.09.docx10.09.33.09.docx Maryland Register
8/30/20199/30/2019
  

The purpose of this action is to require a dentist who applies for an anesthesia or sedation permit to have either a defibrillator or an automated external defibrillator in their dental office as part of their on-site permit inspection, regardless of whether the dentist treats adult patients only. Additionally, the proposed amendments require the examination of either a defibrillator or an automated external defibrillator as part of the on-site inspection of a dental office when a dentist wishes to renew a Class III anesthesia permit, regardless of whether the dentist treats adult patients only.

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10.44.12.11 and .21.docx10.44.12.11 and .21.docx Maryland Register text

8/2/20199/3/2019
  

The purpose of this action is to amend hospital payment procedures set forth in the acute hospitals chapter to clarify that the Program will reimburse hospitals at the rate set for the Program by the Health Services Cost Review Commission (HSCRC).​

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10.09.92.07.docx10.09.92.07.docx Maryland Register

8/2/20199/3/2019
  

The purpose of this action is to implement a 3 percent rate increase for Rare and Expensive Case Management (REM) services effective July 1, 2019, pursuant to the Fiscal Year 2020 Budget Bill.​

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10.09.69.14.docx10.09.69.14.docx Maryland Register text

8/2/20199/3/2019
  

COMAR 10.01.04 Fair Hearing Appeals Under the Maryland State Medical Assistance Program;

COMAR 10.09.63 Maryland Medicaid Managed Care Program: Eligibility and Enrollment; and

COMAR 10.09.71 Maryland Medicaid Managed Care Program: MCO Dispute Resolution Procedures.

The purpose of this action is to clarify MCO responsibilities and procedures when a fair hearing concerns MCO services, in order to align with federal requirements. Additionally, this action corrects an error in the current language regarding a HealthChoice enrollee’s disenrollment effective date.​

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10.01.04, 10.09.63, and 10.09.71.docx10.01.04, 10.09.63, and 10.09.71.docx Maryland Register text

8/2/20199/3/2019
  

The purpose of this action is to establish the FY20 reimbursement rates for Licensed Residential and Day Programs and Personal Support services as part of Community Supported Living Arrangements (CSLA) services in accordance with Health General Article, §7-307(d), Annotated Code of Maryland.​

  

The purpose of this action is to:

(1) Authorize the Maryland Medical Cannabis Commission (MMCC) to award up to 22 medical cannabis grower licenses;

(2) Authorize the MMCC to award up to 28 medical cannabis processor licenses;
(3) Establish an initial licensing period of up to 6 years for medical cannabis growers, processors, and dispensaries;
(4) Require the MMCC to establish enforcement procedures for newly codified advertising restrictions; and
(5) Establish a registration process for academic research institutions to obtain medical cannabis for bona fide research projects. 

  
The purpose of this action is to add State licensed forensic laboratories as permitted employers of certified analysts in an effort to allow these analysts to provide testing services for State law enforcement agencies.​

10.10.09.03 to.doc10.10.09.03 to.doc Regulation Text

  

The purpose of this action is to align with the Department’s §1115 waiver by clarifying that the Program covers ASAM Level 1 services for individuals who are simultaneously receiving clinically managed low-intensity residential services. Additionally, this action implements a 3.5 percent rate increase effective July 1, 2019 for residential substance use disorder services levels of care 3.3, 3.5, 3.7, and 3.7-WM as provided in the Fiscal Year 2020 budget.​

10.09.06 Compliance Guide.docx10.09.06 Compliance Guide.docx Compliance Guide

10.09.06.07 to v2.doc10.09.06.07 to v2.doc Regulation Text

  

The purpose of this action is to update and clarify best practices to align with industry standards within the profession.​

10.29.03.01-.06 to.doc10.29.03.01-.06 to.doc Regulation Text

  

The purpose of this action is to amend obsolete provisions and make clarifying changes.​

  

The purpose of this action is to establish a process within the Maryland Department of Health to certify community health workers and accredit community health worker certification training programs.​

  

The purpose of this action is to update eligibility rules for the Family Planning Program required by Health-General Article, §15-140, Annotated Code of Maryland in order to integrate the Program in Maryland Health Connection and as required by the Centers for Medicare and Medicaid Services as a condition for approving Maryland’s Medicaid State Plan Amendment.​

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10.09.37.02-.13.docx10.09.37.02-.13.docx Maryland Register

9/13/201910/15/2019
  

The purpose of this action is to implement a 3.5 percent rate increase for targeted case management providers in accordance with Health-General Article, §7-307(d), Annotated Code of Maryland.​

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10.09.48.08.docx10.09.48.08.docx Maryland Register

9/13/201910/15/2019
  

The purpose of this action is to implement a 3.5 percent rate increase for community-based substance use disorder services providers beginning July 1, 2019, as provided for in the Fiscal Year 2020 budget.​

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10.09.80.08.docx10.09.80.08.docx Maryland Register

9/13/201910/15/2019