Maryland Administrative Code

.06 Amount of State Grant Awards. The Department shall determine the amount of the State grant for an applicant's project after consideration of the following: A. All eligible applications; B. Priorities of need as established by the Department; C. The total unallocated State fun…

.07 Recommendation of State Grant Awards. A. The Department shall determine whether the approved application is to be recommended to the Board of Public Works for award of State grant funds after consideration of the following: (1) The availability of State grant funds; (2) The r…

.08 Grant Limitations and Provisions. A. Use of Federal Grants and Other Grants. (1) Any federal or other grant that is received for an eligible project shall be applied first to the cost of the project. (2) All other sources of funds shall be expended before the State grant is e…

.09 Use of Funds for Acquisition and Renovation. A. If the applicant is acquiring a site with existing improvements, and the existing improvements are to be renovated for or used for an assisted living facility, the total project costs may be eligible for State participation. B. …

.10 Residual Requirements of the Grantee. A. Annual Requirements. (1) For a period of 30 years following the completion of conversion, acquisition, renovation, capital equipping, or construction of an assisted living facility involving the State grant funds in this chapter, a gra…

.11 Right of Recovery. In the event of default under the terms of the Act and this chapter, an assisted living facility financed pursuant to this chapter is subject to the State's right of recovery as set forth in the Act.

.01 Scope. A. This chapter governs the administration of State grant funds to counties, municipal corporations, nonprofit corporations and other entities, hereinafter “entities”, that are authorized for funding under §330 of the Public Health Service Act (42 U.S.C. 254b) administ…

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Acquisition” means purchasing and obtaining ownership of all or part of an existing building for use as a federally qualified health center. (2) “Act” means Health-General…

.03 Use of State Grant Funds. State grant funds for federally qualified health centers shall be used solely for approved projects that involve: A. Conversion of public buildings or parts of buildings; B. Acquisition of existing buildings or parts of buildings; C. Renovation of a …

.04 Eligible Applicants for State Grant Funds. To be eligible to apply for State grant funds under the Act, an applicant shall: A. Be a qualified entity; B. Sponsor a project involving work specified in Regulation .03 of this chapter; and C. Certify that the proposed facility wil…

.05 Application Procedure. A. An applicant shall apply for a State grant by completing an application with the Department on a form provided by the Department, and shall file the completed application for State grant funds with the Office of Capital Planning, Budgeting, and Engin…

.06 Amount of State Grant Awards. The Department shall determine the amount of the State grant, if any, for an applicant's approved project after consideration of the following: A. All approved applications; B. Priorities of need as established by the Department; C. The total una…

.07 Recommendation of State Grant Awards. A. The Department shall determine whether the application is to be recommended to the Board of Public Works for award of State grant funds after consideration of the following: (1) The availability of State grant funds; (2) The receipt of…

.08 Grant Limitations and Provisions. A. Use of Federal Grants. (1) Any federal grant that is received for an eligible project shall be applied first to the cost of the project. (2) Community Development Block Grants are considered as local matching funds and are not considered a…

.09 Use of Funds for Acquisition and Renovation. A. If the applicant is acquiring a site with existing improvements, and the existing improvements are to be renovated for or used for a federally qualified health center, the total project costs may be eligible for State participat…

.10 Residual Requirements of the Grantee. A. Annual Requirements. (1) For 30 years following the completion of conversion, acquisition, renovation, capital equipping, or construction of a federally qualified health center involving the State grant funds in this chapter, a grantee…

.11 Right of Recovery. In the event of default under the terms of the Act and this chapter, a federally qualified health center financed pursuant to this chapter is subject to the State's right of recovery as set forth in the Act.

.01 Scope. A. This chapter governs the administration of State grant funds for any county, municipal corporation, or nonprofit organization for the conversion of nursing facility beds to provide other health care services under the Nursing Facility Conversion Grant Program, Healt…

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Act” means Health-General Article, §§24-1401—24-1408, Annotated Code of Maryland, which authorizes the disbursement of State grant funds for the purposes of converting nur…

.03 Use of State Grant Funds. State grant funds for nursing facilities under the Act shall be used solely for projects approved by the Department for the purpose of converting existing nursing facility beds to provide: A. Other health care services; B. Purchase of capital equipme…

.04 Eligible Applicants for State Grant Funds. A. To be eligible to apply for State grant funds under the Act, an applicant shall: (1) Be a county, municipal corporation, or a nonprofit organization; (2) Have a proposed project that is in accord with the priorities of the Secreta…

.05 Application Procedure. A. An applicant shall apply for a State grant by: (1) Completing an application with the Department on a form provided by the Department; and (2) Filing the completed application for State grant funds with the Office of Capital Planning, Budgeting, and …

.06 Amount of State Grant Awards. The Department shall determine the amount of the State grant, if any, for an applicant's approved project after consideration of the following: A. All approved applications; B. Priorities of need as established by the Department; C. The total una…

.07 Recommendation of State Grant Awards. A. The Department shall determine whether the application is to be recommended to the Board of Public Works for award of State grant funds after consideration of the following: (1) The availability of State grant funds; (2) The receipt of…

.08 Grant Limitations and Provisions. A. Use of Federal Grants. (1) Any federal grant that is received for an eligible project shall be applied first to the cost of the project. (2) Community development block grants are considered as local matching funds and are not considered a…

.09 Residual Requirements of the Grantee. A. Annual Requirements. (1) For a period of 30 years following the conversion of nursing facility beds involving the State grant funds in this chapter, a grantee shall file a written statement annually with the Department containing the f…

.10 Right of Recovery. In the event of default under the terms of the Act and this chapter, a nursing facility financed pursuant to this chapter is subject to the State's right of recovery as set forth in the Act.

.01 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Advanced practice nurse” means a: (a) Certified nurse practitioner; (b) Certified nurse midwife; or (c) Certified registered nurse anesthetist. (2) “Board” means the Maryl…

.02 License and Certification Requirements. A. The provider shall: (1) Meet all license requirements as set forth in COMAR 10.09.36.02; and (2) Be licensed and hold all certifications as required by the Board. B. If practicing out-of-State, the provider shall meet the regulatory …

.03 Conditions for Participation. To participate in the Program, a provider shall: A. Meet all conditions for participation as set forth in COMAR 10.09.36.03; and B. If delivering services via telehealth, comply with COMAR 10.09.49 and any subregulatory guidance issued by the Dep…

.04 Covered Services. A. Subject to §B of this regulation, the Program covers medically necessary services rendered to participants as follows: (1) For nurse practitioners: (a) Medically necessary services within the provider’s scope of practice as described in COMAR 10.27.07; or…

.05 Limitations. Under this chapter, the Program does not cover the following: A. Services not medically necessary; B. Services prohibited by the Maryland Nurse Practice Act or by the Board; C. Advanced practice nursing services included as part of the cost of: (1) An inpatient f…

.06 Payment Procedures. A. The provider shall submit the request for payment in the format designated by the Department. B. The Department reserves the right to return to the provider, before payment, all requests for payment not properly completed. C. The provider shall charge t…

.07 Recovery and Reimbursement. Recovery and reimbursement are as set forth in COMAR 10.09.36.07.

.08 Causes for Suspension or Removal and Imposition of Sanctions. Causes for suspension or removal and imposition of sanctions are as set forth in COMAR 10.09.36.08.

.01 Definitions. A. The following terms have the meanings indicated. B. Terms Defined. (1) “Attending physician” means a physician, other than a house officer, resident, intern, or emergency room physician, directly responsible for the patient's care. (2) “Board” means the Board …

.02 License Requirements. A. The provider shall meet all license requirements as set forth in COMAR 10.09.36.02. B. A doctor of medicine or osteopathy shall be licensed and legally authorized to practice medicine and surgery in the state in which the service is provided. C. The p…

.03 Conditions for Participation. A. General requirements for participation in the Program are that a provider shall: (1) Meet all the conditions for participation as set forth in COMAR 10.09.36; and (2) If delivering services via telehealth, comply with COMAR 10.09.49 and any su…

.04 Covered Services. The Program covers the following medically necessary services rendered to participants: A. Physicians’ services rendered in the physician’s office, the participant’s home, a hospital, a skilled or intermediate care nursing facility, a freestanding clinic, or…

.05 Limitations. A. Services which are not covered are: (1) Physician services not medically justified; (2) Nonemergency dialysis services related to chronic kidney disorders unless they are provided in a Medicare-certified facility; (3) Physician inpatient hospital services rend…

.06 Preauthorization Requirements. A. The following procedures or services require preauthorization: (1) Cosmetic surgery; (2) Contact lens evaluation and fitting; (3) Lipectomy and panniculectomy; (4) Transplantations of vital organs; (5) Services rendered to an inpatient before…

.07 Payment Procedures. A. The provider shall submit the request for payment on the form designated by the Department. B. The Department reserves the right to return to the provider, before payment, all invoices not properly signed, completed, and accompanied by properly complete…

.08 Recovery and Reimbursement. A. If the participant has insurance or other coverage, or if any other person is obligated, either legally or contractually, to pay for, or to reimburse the participant for, services covered by this chapter, the provider shall seek payment from tha…

.09 Cause for Suspension or Removal and Imposition of Sanctions. A. If the Department determines that a provider, physician, any agent or employee of the provider, or any person with an ownership interest in the provider has failed to comply with applicable federal or State laws …

.10 Appeal Procedures. Providers filing appeals from administrative decisions made in connection with these regulations shall do so according to COMAR 10.09.36.09.

.11 Interpretive Regulation. Except when the language of a specific regulation indicates an intent by the Department to provide reimbursement for covered services to Program participants without regard to the availability of federal financial participation, State regulations shal…

.01 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) "340B price" means the price at which drugs are purchased as authorized under Section 340B of the Public Health Service Act. (2) “Actual acquisition cost (AAC)” means the a…