Maryland Register
Issue Date:  October 13, 2017
Volume 44 • Issue 21 • Page 1002
Title 10
10.09.33 Health Homes
Authority: Health-General Article, §2-104(b), Annotated Code of Maryland
Notice of Proposed Action
The Secretary of Health proposes to amend Regulation .09 under COMAR 10.09.33 Health Homes.
Statement of Purpose
The purpose of this action is to update the listed rates for Maryland Chronic Health Homes by 2 percent effective July 1, 2017. The fiscal 2018 State budget, approved S.B. 170, Budget Bill (Fiscal Year 2018), Ch. 150, Acts of 2017, includes a 2 percent rate increase for community behavioral health providers.
Comparison to Federal Standards
There is no corresponding federal standard to this proposed action.
Estimate of Economic Impact
I. Summary of Economic Impact. This proposed action will result in the increase of the rates for Maryland Chronic Health Homes services. The State general funds impact is expected to be $94,403 for State fiscal year 2018. The federal funds impact is expected to be $94,403. The total funds impact is expected to be $188,806.
Revenue (R+/R-)
II. Types of Economic Impact.

A. On issuing agency:
B. On other State agencies:
C. On local governments:
Benefit (+)
Cost (-)

D. On regulated industries or trade groups:
E. On other industries or trade groups:
F. Direct and indirect effects on public:
III. Assumptions. (Identified by Impact Letter and Number from Section II.)
A. and D. Estimated fiscal impacts are based on calendar year 2016 utilization and enrollment growth rates. Actual utilization could be lower if enrollment plateaus. Historically, we’ve also seen some fluctuation in the percentage of individuals who receive the 2+ services/month to qualify the provider for the PMPM.
Economic Impact on Small Businesses
The proposed action has a meaningful economic impact on small business. An analysis of this economic impact follows.
Small businesses that could be impacted by this proposal include opioid treatment programs (OTPs), psychiatric rehabilitative programs (PRPs), and mobile treatment programs (MTs) who are enrolled as a Health Home with Maryland Medicaid. Health Home providers will receive Medicaid reimbursement rates that are increased by 2 percent for all Health Home services.
Impact on Individuals with Disabilities
The proposed action has no impact on individuals with disabilities.
Opportunity for Public Comment
Comments may be sent to Michele Phinney, 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 November 13, 2017. A public hearing has not been scheduled.
.09 Payment Procedures.
A.—B. (text unchanged)
C. Payment shall be made:
(1) (text unchanged)
(2) Effective [July 1, 2016] July 1, 2017, at a monthly rate per participant of [$100.85] $102.86, on the condition that the requirements of this chapter are met.
Secretary of Health