Maryland Register
Issue Date:  November 13, 2017
Volume 44• Issue 23 • Page 1101
Title 10
10.09.48 Targeted Case Management for People with Developmental Disabilities
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 .08 under COMAR 10.09.48 Targeted Case Management for People with Developmental Disabilities.
Statement of Purpose
The purpose of this action is to implement a 3.5 percent cost of living allowance for targeted case management providers in accordance with Health-General Article, §7-307(d), Annotated Code of Maryland.
Comparison to Federal Standards
There is no corresponding federal standard to this proposed action.
Estimate of Economic Impact
I. Summary of Economic Impact. The program will implement a 3.5 percent reimbursement rate increase in accordance with Health General Article, §7-307(d), Annotated Code of Maryland.
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. The proposed rate increases represent a 3.5 percent increase over the current published rate of $17.99 per unit in FY 17. The increase will be paid to providers of Targeted Case Management.
D. As a result of increasing the per unit rate for targeted case management services, providers will receive increased payments, totaling $1,525,394 in FY 18.
Economic Impact on Small Businesses
The proposed action has a meaningful economic impact on small business. An analysis of this economic impact follows.
The proposed action has a meaningful economic impact on small businesses because the higher reimbursement rates infuse dollars into targeted case management entities that provide these services in the community.
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 December 13, 2017. A public hearing has not been scheduled.
.08 Payment Procedures.
A. (text unchanged)
B. Payment Rates.
(1)—(2) (text unchanged)
(3) For all other services, providers shall be reimbursed:
(a)—(d) (text unchanged)
(e) $17.39 per unit of service from January 1, 2016 through June 30, 2016; [and]
(f) $17.99 per unit of service [thereafter] from July 1, 2016 through June 30, 2017; and
(g) $18.61 per unit of service thereafter.
C.—E. (text unchanged)
Secretary of Health