Maryland Administrative Code

.02 Service Requirements. A. The HMO shall provide the services required by the Maryland Health Maintenance Organization Act of 1975, Health-General Article, §19-701(d), Annotated Code of Maryland. B. The HMO shall make available and encourage appropriate history and baseline exa…

.03 Quality Assurance Requirements — Program Planning and Evaluation. A. The HMO shall have a written program plan that is updated and reviewed at least every 3 years. B. The plan shall include the following information: (1) Statistics on age, sex, and other general demographic d…

.04 Peer Review. A. Internal Review. The HMO shall have an internal peer review system that will evaluate the utilization of services and the quality of health care provided enrollees. The review system shall: (1) Provide for review by appropriate health professionals of the proc…

.05 Medical Records. A. The HMO shall maintain an individual record for each patient according to accepted professional principles and the provisions of these regulations, with entries kept current, dated, and signed by a physician or other medical professional. B. All informatio…

.06 Statistics. The HMO shall provide the Department with full access to all operational and statistical data to enable the Department to verify the HMO's compliance and to enable the Department to conduct specific statistical studies with respect to current status of various seg…

.07 Personnel. A. When applicable, each staff member of the HMO shall be licensed as required by State and local law, and meet acceptable professional qualifications or have qualified by means of an occupational proficiency examination or through acceptable training. Provider sta…

.08 Policy Formulation. A. The HMO shall have written policies governing the provision of the HMO services according to stated objectives of the HMO. The policies shall be developed in consultation with the executive officer, representative professionals, including one or more ph…

.09 Access and Availability of Services. A. Regular Hours. (1) With respect to all services it furnishes, whether direct or through contractual arrangements, an HMO shall provide for regular hours during which an enrollee may receive services. (2) An HMO that provides services di…

.10 Physician Availability. A. The HMO shall have a physician available at all times to provide diagnostic and treatment services. The HMO shall assure that every enrollee seen for a medical complaint is evaluated under the direction of a physician and that every enrollee receivi…

.11 Complaint System for Quality of Care Issues. A. The HMO shall have a: (1) Written procedure to assist and respond to enrollees, families, and providers on complaints concerning quality of care issues; and (2) Designated department to handle complaints. B. Quality of care issu…

.12 Inspections. A. HMO to Be Open for Inspection. An HMO shall be open to inspection by representatives of the Department and by any agency designated by the Department. B. Frequency of Inspection. (1) The Department shall inspect each HMO periodically at reasonable times. (2) T…

.13 Repealed.

.14 Waiver Authority. The Department may grant waivers to the provisions of these regulations when this action is demonstrated to be in the best interests of the general public. Waivers may be granted for a 1-year period, are renewable, and are subject to reconsideration at any t…

.01 Scope. These regulations are applicable to all health care facilities within correctional institutions and include those services provided inmates who report to the health care facility on an out-patient basis. These regulations do not include infirmaries which do not house p…

.02 Definitions. A. “Communicable disease programs” means the provision of services that will assist in the prevention of communicable disease. B. “Department” means the Maryland Department of Health. C. “Health care facility” means a specified area within the correctional instit…

.03 Compliance with State and Local Laws, Ordinances, Regulations, or Orders. A. Each correctional facility shall demonstrate to the Department its compliance with applicable State and local ordinances, laws, regulations, and orders as they apply to the use of facilities for heal…

.04 License Procedure. Applicants for licensure shall conform to the following: A. Any person desiring to open and operate a health care facility within a correctional institution or to continue the operation of an existing health care facility, shall file a written or electronic…

.05 Transfer or Assignment of License. A. Transfer or assignment of the license is prohibited. B. A separate license shall be required for each health care facility operated within the correctional institution.

.06 Inspections. A. Health Care Facility to be Open for Inspection. Health care facilities, and any premise proposed to be operated by an applicant for a license, shall be open at all reasonable times to inspection by the Secretary of Health and by any agency designated by the Se…

.07 Policies and Procedures. Written policies and procedures shall be established for the following services: A. Physician services; B. Health care services; C. Staffing; D. Emergency care; E. Medical research; F. Communicable diseases; G. Medical examinations and evaluation proc…

.08 Communication. There shall be a telephone in the health unit and additional telephones or extensions or communication systems as required by the Department to summon help in case of fire or other emergency.

.09 Physician Services. A. Medical Examination. Each newly received inmate to the health facility shall be examined within 2 working days after his admission as to his medical condition. A record of each examination shall be kept as part of the permanent medical record. B. Availa…

.10 Psychiatric Services. Psychiatric services shall be provided according to the needs of the patients.

.11 Surgical Services. Each health care facility desiring to perform surgical procedures shall first obtain approval from the Department.

.12 Health Care Services. A. Health care services shall be provided according to the needs of the inmates and shall be designed to maintain the highest possible degree of function, self-care, and independence. B. A health care program shall be developed to insure prompt treatment…

.13 Staffing. A. The health facility shall provide the number and level of personnel sufficient to meet the total needs of the patient. B. Health facilities shall employ licensed personnel to provide medical services when applicable. C. The facility shall provide personnel who ar…

.14 Emergency Care. Each health facility in cooperation with the facility physician shall set forth in writing, to all personnel, the routine procedure for summoning appropriate medical care personnel.

.15 Medical Research. Each health facility involved in medical research shall follow standards developed by the American Correctional Association for the safety and well-being of the inmate population.

.16 Communicable Disease. A. Cross-infection shall be guarded against by prompt isolation of diagnosed and suspected cases of communicable disease. Room furnishings, equipment, and supplies shall be kept clean at all times, properly cleaned after use, and disinfected. B. Reports …

.17 Medical Examination and Evaluation Process. A. Written policies and procedures shall be developed and maintained in consultation with representatives of the medical staff, nursing service, and administration governing the provisions for the control of the sick call process an…

.18 Staff Development. A. There shall be a combined orientation and continuing education program at least every 2 months for all personnel. Documentation shall be available to include date, time, topic discussed, speaker, and members present. A coordinated training program with a…

.19 Pharmacy Services. A. Procedures for Administration of Pharmaceutical Services. Each facility shall comply with all federal, State, and local laws, ordinances, standards and codes regulating the purchasing, storage, dispensing, administration, and recording of drugs. Each hea…

.20 Dietary Services. A. Adequacy of Diet. The food and nutritional needs of patients shall be met according to physician's orders. B. Therapeutic Diets. (1) The therapeutic diet prescribed by the attending physician shall be prepared and served as part of the course of treatment…

.21 Housekeeping Services and Pest Control. The following shall be observed: A. The building and all its parts shall be kept in good repair, neat, clean, attractive, and safe. Housekeeping shall meet the highest possible standards of hygiene and cleanliness. B. All walls, floors,…

.01 Scope. This chapter sets forth requirements for a facility to be licensed as a forensic residential center.

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Confined” means an order by the court pursuant to Criminal Procedure Article, §3-106(d)(2), Annotated Code of Maryland. (2) “Court-ordered evaluation” means an evaluation …

.03 Licensing Procedure. A. The Secretary shall license an FRC that meets the requirements of this chapter. B. The license for an FRC shall be effective for 1 year. C. The Secretary may renew the license of an FRC if it continues to meet the requirements of this chapter. D. Appro…

.04 Administrative Requirements. A. In addition to the requirements of this chapter, an FRC shall comply with the applicable requirements of COMAR 10.22.02. B. Safety and Sanitation. (1) An FRC's grounds, fixtures, and equipment shall: (a) Be maintained in good repair and be clea…

.05 Enrollment, Release, and Discharge. A. All individuals in an FRC are ordered or committed by the court to the Department, or under the court's jurisdiction pursuant to an order of conditional release as set forth in Criminal Procedure Article, Title 3, Annotated Code of Maryl…

.06 Services. A. Services provided by an FRC shall include: (1) As set forth in Criminal Procedure, Title 3, Annotated Code of Maryland, all required evaluations and reports; and (2) Therapeutic services designed to prepare the individual for productive community living, that add…

.01 Purpose. The purpose of this chapter is to set minimum, reasonable standards for licensure of assisted living programs in Maryland. This chapter is intended to maximize independence and promote the principles of individuality, personal dignity, freedom of choice, and fairness…

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) Abuse of a Resident. (a) “Abuse of a resident” means physical, sexual, mental, or verbal abuse, or the improper use of a physical or chemical restraint or involuntary seclu…

.03 Incorporation by Reference. In this chapter, the following documents are incorporated by reference: A. Centers for Disease Control and Prevention (CDC) Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Facilities, 2005, which is incorpora…

.04 License Required. A. A person may not operate an assisted living program in the State without obtaining a license from the Secretary and complying with the requirements of this chapter. B. Providing housing under a landlord-tenant arrangement does not, in and of itself, exclu…

.05 Levels of Care. A. An assisted living program may provide: (1) The level of care for which the assisted living program has been approved; and (2) Any lower level of care. B. At the time of initial licensure, an applicant shall: (1) Request approval to provide services at one …

.06 Restrictions. A. Restricted Nomenclature. An assisted living program licensed under this chapter may not use in its title or advertising the words “hospital”, “sanitarium”, “nursing”, “convalescent”, “rehabilitative”, “sub-acute”, or “hospice”. B. Advertising an Assisted Livi…

.07 Licensing Procedure. A. Application for License. (1) To obtain and maintain a license, an applicant shall meet all of the requirements of: (a) This chapter; (b) Other applicable federal, State, and local laws and regulations; and (c) Health-General Article, §19-311, Annotated…