Maryland Register

Issue Date:  January 18, 2019

Volume 46 • Issue 2 • Page 58

Title 10 


10.09.08 Freestanding Clinics

Authority: Health-General Article, §2-104(b), 15-103, and 15-105, Annotated Code of Maryland

Notice of Proposed Action


The Secretary of Health proposes to amend Regulation .05 under COMAR 10.09.08 Freestanding Clinics.

Statement of Purpose

The purpose of this action is to amend the date rate revisions are effective for FQHCs for which HRSA approves a change of scope.

Comparison to Federal Standards

There is a corresponding federal standard to this proposed action, but the proposed action is not more restrictive or stringent.

Estimate of Economic Impact

The proposed action has no economic impact.

Economic Impact on Small Businesses

The proposed action has minimal or no economic impact on small businesses.

Impact on Individuals with Disabilities

The proposed action has no impact on individuals with disabilities.

Opportunity for Public Comment

Comments may be sent to Jake Whitaker, Acting Director, Office of Regulation and Policy Coordination, Maryland Department of Health, 201 West Preston Street, Room 512, Baltimore, MD 21201, or call 410-767-6499 (TTY 800-735-2258), or email to, or fax to 410-767-6483. Comments will be accepted through February 19, 2019. A public hearing has not been scheduled.

.05 Federally Qualified Health Center Services.

A.—C. (text unchanged)

D. Rate Revisions for FQHCs Due to Scope of Services Change or Extraordinary One-Time Circumstance.

(1)—(6) (text unchanged)

(7) Rate revisions granted under this section shall be effective the [first day after the first full year of operation after the implementation of the scope of service changedate the change of scope was approved by the Health Resources and Services Administration (HRSA) or the occurrence of the extraordinary one-time circumstance.

(8) (text unchanged) 

E. (text unchanged)

Secretary of Health