Maryland Administrative Code

.06 Award Distribution. A. The distribution of program awards shall be based on the funding prioritization in accordance with Health-General Article, §24-1904.1(a), Annotated Code of Maryland. B. The Department shall prioritize funding for the repayment of education loans in acco…

.07 Participant Obligation. A. A participant shall provide the Department with required documentation including: (1) Lender verification of education loan balance; (2) Documentation of employer verification; (3) A signed Promissory Note that includes; (a) The disbursement methods…

.08 Verification of Service Obligation Fulfillment. A. The Department shall verify annually during Program participation, the participant’s compliance with: (1) The Program Promissory Note; (2) The Service Obligation Agreement; and (3) Any subregulatory guidelines developed by th…

.09 Breach of Agreement and Penalties. A. A participant's failure to comply with the Service Obligation Agreement and Promissory Note shall constitute a breach of agreement with the Department. B. Penalties for breach of agreement with the Department shall be stated in the Servic…

.10 Amendments to a Participant’s Service Obligation. A. Practice Site Transfer. (1) The Department may consider practice site transfer requests during a participant’s service obligation period. (2) A participant shall submit a site transfer request to the Department for consider…

.01 Purpose. It is the intent of this chapter that: A. The cost of care of a recipient of services be determined in accordance with the charges for health services set under this chapter; B. There be a single or, if appropriate, bundled charge for each health service rendered to …

.02 Scope. This chapter applies to: A. All inpatient facilities operated by the Department; B. All local health departments' programs funded by the Department; C. All private or public alcohol and drug abuse providers funded by the Behavioral Health Administration; D. Adult day c…

.03 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Charge” means the dollar amount set or approved by the Secretary for each clinic visit, day of care, hour, procedure, or other unit of service, as specified in the Schedul…

.04 Setting of Charges for Local Health Departments. A. The Secretary shall approve a Schedule of Charges for each local health department containing the CPT-based charges for health services provided by the local health department which remain in effect until changed as provided…

.05 Setting of Charges for State-Operated Inpatient Facilities. A. Inpatient Charge. (1) For each fiscal year, a daily per capita inpatient cost of care for a State-operated inpatient facility shall be determined by: (a) Utilizing the legislatively approved budget for the inpatie…

.06 Setting of Charges for Private Providers. A. A private provider shall submit annually, to the Division, a cost report and proposed recommended Schedule of Charges, pursuant to instructions provided by the Division. B. At least annually, the Secretary shall approve a Schedule …

.07 Setting of Charges for Laboratories Administration. A. The Laboratories Administration shall submit annually, to the Division, a cost report and proposed recommended Schedule of Charges, pursuant to instructions provided by the Division. B. At least annually, the Secretary sh…

.08 Determination of Ability to Pay and Fees to be Collected. A. For inpatient care rendered in facilities operated by the Department, fees shall be established in conformity with applicable statutory requirements and regulations issued by the Secretary. The following apply: (1) …

.09 Billing and Collection of Charges and Fees. A. Billings and collections for care rendered in State operated inpatient facilities shall be calculated by the Department in accordance with the following procedures: (1) The Department shall conduct a financial investigation of a …

.10 Distribution and Application of Amounts Collected. A. All payments made under the provisions of this subtitle for services rendered through facilities and programs of the Department shall be made to and collected by the Department, and shall be accounted for and deposited int…

.11 Records and Reports Required. A. An individual financial record for each recipient of services or chargeable person shall be maintained, which shall contain relevant financial information including: (1) The ability-to-pay determination, including, when available, applicable d…

.01 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Abandonment” means wrongful and continuous absence by a: (a) Spouse from the home for a period of 18 months or longer, immediately before the recipient of services' hospit…

.02 Scope. It is the policy of the Maryland Department of Health, in accordance with: A. Health-General Article, §16-203(a)(3), Annotated Code of Maryland, to excuse a legally responsible relative from contributing to the cost of in-patient care of a recipient of services if that…

.03 Burden of Proof. A. A responsible relative claiming to have been abused, sexually abused, abandoned, or subjected to a crime of violence by the recipient of services shall have the burden of establishing to the satisfaction of the Department by a preponderance of the evidence…

.01 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Administrative law judge” means an individual appointed by the Chief Administrative Law Judge under State Government Article, §9-1604, Annotated Code of Maryland, or desig…

.02 Opportunity for an Appeal Hearing. An opportunity for an appeal hearing shall be granted when: A. A rate is established (or increased) against an individual in an amount which is deemed by the individual to be arbitrary and excessive in accordance with the individual's financ…

.03 Notification of Right to Request an Appeal Hearing. A. Whenever the Division conducts an investigation of an individual's financial resources and issues a notice of rate establishment for services rendered to a recipient of services in accordance with COMAR 10.02.01.05, the D…

.03-1 Request for a Rate Review. A. If a recipient of services or other chargeable person submits a written request that the Division review the notice of rate establishment, the financial agent for the Division shall: (1) Review the notice of rate establishment to determine the …

.04 Request for an Appeal Hearing. A. Any individual, either himself or through a representative, may request an appeal hearing by giving a clear statement, in writing, to any financial agent of the Division that he desires an opportunity to present for review any matter which is…

.05 Pre-Hearing Procedures. The appellant and the Division may request the names of all witnesses that the other party intends to call at the hearing. Cross References 10.02.01.09A(3)

.06 Hearing Procedures. A. The appellant and the Division shall have the opportunity to present witnesses, documentary evidence, and oral and written argument, and to cross-examine all adverse witnesses. B. If the appellant wishes to call as witnesses any of the Division's curren…

.07 The Record. A. A recording of the hearing shall be made. A copy of the recording shall be supplied to the appellant whenever the appellant takes a further appeal. The recording, together with all exhibits and papers admitted into evidence, shall constitute the exclusive recor…

.08 Findings, Conclusions and Decisions. A. The administrative law judge shall prepare a written summary of findings and conclusions, based exclusively on the record, and shall make a recommendation based on those findings and conclusions. The summary of findings and conclusions …

.01 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) Amendment. (a) “Amendment” means an alteration of or change to a vital record based on a court order or documentation specified in this chapter. (b) “Amendment” includes mo…

.02 Preparation of Certificates. A. An individual who prepares a birth, death, or fetal death certificate shall file the record using the electronic vital records registration system maintained by the Department unless otherwise directed by the Secretary. B. Electronic registrati…

.03 Birth Registration. A. Birth Registration Notice. (1) The Secretary may issue a birth registration notice to parents named on the certificate stating that the birth certificate of their child has been registered. (2) The notification in §A(1) of this regulation may not be an …

.04 Delayed Birth Registration. A. Certificate Form. Delayed birth registrations, certificates, and all copies of them shall include, in addition to other items: (1) The word “DELAYED”, prominently printed; (2) The date of filing; and (3) An abstract of the supporting evidence, g…

.05 Death Registration — Fetal Deaths. A. A certificate for fetal death of 20 or more weeks gestation shall be filed regardless of the disposition of the remains. B. If the gestation period is unknown, but the fetus weighs 350 grams or more, a fetal death certificate shall be fil…

.06 Transportation of Human Remains — Burial-Transit Permit. A. The mortician who takes custody of human remains shall obtain a burial transit permit before final disposition or removal of the human remains from the State. The form of the burial-transit permit shall be prescribed…

.07 Disinterment and Reinterment Permits. A. When human remains are to be removed from a cemetery or other final resting place and transferred to another cemetery or location, a disinterment and reinterment permit shall be obtained from the local health department in Baltimore Ci…

.08 Inspection of Records and Disclosure of Information. A. On request, for birth, death, and marriage records only, the Secretary may disclose data or issue certified copies of vital records, original certificates, or information when satisfied that the applicant has a direct an…

.09 Inspection of Records and Disclosure of Information — Maryland Certificate of Foreign Birth. A. The Secretary shall prepare and register a Maryland certificate of foreign birth upon a request that the certificate be prepared from the court, an adopting parent, or an adopted i…

.10 Birth Certificate of a Deceased Person. A. On presentation of an official death certificate, a birth certificate on a deceased individual may be issued to: (1) A parent; (2) A surviving spouse; (3) A legal guardian; or (4) An authorized representative of the deceased who pres…

.11 Verification of Data. A. Birth, Death, and Marriage Verification. (1) Verification of the facts contained on the vital records in this section may be furnished by: (a) The Secretary or, for births and deaths only, the local health officer of the county of the occurrence of th…

.12 Reports of Divorce and Annulment. A. The parties to a divorce or an annulment of marriage action, or their respective attorneys, shall provide the necessary information to the clerk of the appropriate court for the clerk to prepare and forward to the Secretary the required re…

.13 Commemorative Birth Certificate. A. The commemorative birth certificate shall: (1) Cost $50 per copy, except under certain circumstances to be determined by the Secretary of Health, and be available for issuance to the subject of the vital record or an authorized representati…

.14 Death Certificate — Amendment. A. In order for the name of the deceased, the cause of death and medical certification, the manner of death, the date and time of death, and the place where the death occurred to be amended on a death certificate, the facts necessitating the ame…

.15 Certificate of Birth Resulting in Stillbirth. A. The Secretary shall prepare a Maryland certificate of birth resulting in stillbirth upon the request of the parent or parents of a stillborn child. B. In order for the Secretary to prepare a Maryland certificate of birth result…

.16 Births Outside an Institution. A. An attending clinician in charge of a birth outside an institution shall: (1) Prepare the forms required by the Secretary to register the birth; and (2) File the forms. B. If a birth occurs outside an institution and an attending clinician is…

.01 Confidential Information. All information relating to personal facts and circumstances, such as names and addresses, medical examinations, and financial resources, obtained by the State or local staff administering the programs of the Maternal and Child Health Bureau shall be…

.02 Disclosure of Confidential Information. All records and information shall be held confidential and may not be disclosed without the individual's consent, except as may be necessary to provide services to the individual mother or child or as otherwise required by law. This mea…

.03 Responsibility for Confidential Records and Information. The Director of the Maternal and Child Health Bureau, working under the Secretary of Health: A. Is responsible for carrying out this regulation and procedures; B. Shall initiate suitable office practices to assure the p…