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Compliance
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​The purpose of this action is to (1) Define the terms “affiliated line of business”, “affiliation”, “claim”, “clean claim”, and “termination” in order to clarify the Program’s requirements for timely filing of claims; 

(2) Clarify the definitions of terms “provider”, “overpayment”, and “withhold payment”; 

(3) Clarify that providers shall register and maintain good standing with the State Department of Assessments and Taxation (SDAT); 

(4) Explain the Program’s policy regarding backdating enrollment effective dates for new providers; 

(5) Centralize existing payment procedures under the general provider payment procedures regulation;

(6) Amend timely filing requirements by eliminating the ability to continuously resubmit claims after initial denial;

(7) Clarify the Department’s ability to recover an overpayment and providers’ ability to appeal an overpayment recovery; 

(8) Codify the Program’s authority to terminate enrollment for lines of business affiliated with for-cause terminated providers;

(9) Explain the effective date of the Program’s action to suspend payment when a credible allegation of fraud is determined; and

(10) Change instances of the term “recipient” to “participant”.


10.09.36 Compliance Guide.docx10.09.36 Compliance Guide.docx Compliance Guide

11/20/202012/21/2020
  

The purpose of this action is to enable the Department to approve licensure for certain off-campus hospital-owned and -operated outpatient sites—provided that the Health Services Cost Review Commission determines the sites qualify for hospital rates under the hospital rate setting system.​

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10.07.01.06.docx10.07.01.06.docx Maryland Register

12/20/20191/21/2020
  

The purpose of this action is to outline the eligibility, covered health care services, and other components of the State-funded demonstration program, as required by Ch. 447, Acts of 2018. The demonstration program will provide health care services limited to private duty nursing services for a limited number of eligible individuals who are enrolled in Maryland Medical Assistance through the Employed Individuals with Disabilities program.​

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10.12.06.01-.09.docx10.12.06.01-.09.docx Maryland Register

1/3/20202/3/2020
  

​The purpose of this action is to:

(1) Update the incorporation by reference in COMAR 10.07.02.02 to reflect the most current industry guidelines;

(2) Remove the incorporation by reference for two outdated CMS guidelines;

(3) Update the licensing language in COMAR 10.07.02.03;

(4) Update the name of the agency referred to in COMAR 10.07.02.01 and 10.07.02.33 from Office of Infectious Disease Epidemiology and Outbreak Response to Infectious Disease Epidemiology and Outbreak Response Bureau;

(5) Clarify references within the nursing home regulations; and

(6) Remove duplicative language in COMAR 10.07.02.40.


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10.07.02.01-.03, .33, .40.docx10.07.02.01-.03, .33, .40.docx Maryland Register

1/17/20202/18/2020
  

The purpose of this action is to adopt regulations for the Professional and Volunteer Firefighter Innovative Cancer Screening Technologies Program, which was established by Ch. 219 (S.B. 727), Acts of 2019, to provide grants to fire departments to procure innovative cancer screening tests to reduce cancer mortality among professional and volunteer firefighters.​

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10.14.08.01-.08.docx10.14.08.01-.08.docx Maryland Register

1/31/20203/2/2020
  

The purpose of this action is to implement presumptive eligibility requirements for the Maryland Medicaid Family Planning Program, in accordance with Ch. 465 (S.B. 774), Acts of 2018.​

10.09.37.03-1.docx10.09.37.03-1.docx Maryland Register

10/23/202011/23/2020
  

The purpose of this action is to provide a new fee for the Interstate Physical Therapy Licensure Compact pursuant to Ch. 374, Acts of 2019.​

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10.38.07.02.docx10.38.07.02.docx Maryland Register

10/23/202011/23/2020
  

The purpose of this action is to establish a regulatory framework for the oversight of the processing and distribution of edible cannabis products. The proposal also eliminates duplicative laboratory testing on each batch of medical cannabis (i.e. “batch testing”) that is manufactured into a processed product. Further, the proposal simplifies and strengthens the Commission’s administrative process for issuing fines for violations of medical cannabis laws.​

10/23/202011/23/2020
  

The purpose of this action is to increase the professional dispensing fees paid to Maryland Medicaid community participating pharmacy providers for covered services. This includes covered services rendered to participants in nursing facilities and covered services rendered to individuals who do not reside in nursing facilities, in order to comply with federal mandates established by CMS’ Covered Outpatient Drug Final Rule (CMS-2345-FC).​

10.09.03.07.docx10.09.03.07.docx Maryland Register

11/6/202012/7/2020
  

​The purpose of this action is to expand the provider types permitted to order home health services to include nurse practitioners. Additionally, the proposed action changes instances of the term “recipient” to “participant” throughout the chapter.​

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10.09.04.01, .03-.07.docx10.09.04.01, .03-.07.docx Maryland Register

11/6/202012/7/2020
  

The purpose of this action is to update the pharmacist prescriber payment procedures regulation by adding a reference to the Professional Services Provider Manual and Fee Schedule, which is incorporated by reference under COMAR 10.09.02.07D.​

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10.09.21.06.docx10.09.21.06.docx Maryland Register

11/6/202012/7/2020
  

The purpose of this action is to clarify payment procedures for professional and laboratory services provided in urgent care centers by adding references to the Professional Services Provider Manual and Fee Schedule, which is incorporated by reference under COMAR 10.09.02.07D.​

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10.09.77.06.docx10.09.77.06.docx Maryland Register

11/6/202012/7/2020
  

​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

11/6/202012/7/2020
  

The purpose of this action is to comply with the federal standards under Title VIII of the Public Health Services Act and maintain recognition by the United States Department of Education as a reliable authority on the quality of nursing education. These amendments are designed to clarify, reorganize, eliminate, and streamline existing language in order to reduce regulatory uncertainty and the overall regulatory burden on nursing education programs in Maryland.​

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11/6/202012/7/2020
  

​The purpose of this action is to:

(1) Reorganize and add clarifying language to COMAR 10.58.01 to make it applicable to all licenses, certificate holders, and alcohol and drug trainees;

(2) Repeal the existing chapter, COMAR 10.58.12, and replace it with a new chapter exclusively for licensed clinical and graduate professional counselors;

(3) Clarify certain procedures for the administrative processing of applications; and

(4) Remove from regulations the requirement that the Board issue paper licenses and certificates.


​N/A

10.58.01 and 10.58.12.docx10.58.01 and 10.58.12.docx Maryland Register

11/6/202012/7/2020
  

The purpose of this action is to provide a Code of Ethics for Licensed Direct-Entry Midwives that will guide them in their practice, add additional regulatory requirements for safe practice, and provide a general framework for their ethical practice.​

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10.64.02.01-.03.docx10.64.02.01-.03.docx Maryland Register

11/6/202012/7/2020
  

The purpose of this action is to implement the CY 2021 MCO value-based purchasing (VBP) core performance measures.​

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10.67.04.03.docx10.67.04.03.docx Maryland Register

11/6/202012/7/2020
  

The purpose of this action is to:

(1) Reorganize and consolidate language into a single chapter, COMAR 10.58.07, from COMAR 10.58.01, 10.58.13 and 10.58.14 pertaining to all alcohol and drug licensees, certificate holders, and trainees;

(2) Delete or amend obsolete information to more accurately reflect statutory requirements;

(3) Clarify certain procedures for the administrative processing of applications;

(4) Provide that alcohol and drug trainees are required to obtain a criminal history records check and are subject to the same disciplinary sanctions that currently apply to other certified or licensed alcohol and drug counselors as set forth in Chs. 408 and 409, Acts of 2019; and

(5) Remove from regulations the requirement that the Board issue paper licenses and certificates.


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10.58.07.02-.16, 10.58.13, 10.58.14.docx10.58.07.02-.16, 10.58.13, 10.58.14.docx Maryland Register text

11/20/202012/20/2020