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REGS : 10.37.10-Rate-Application-and-Approval-Procedures

 

PROPOSAL

Maryland Register

Issue Date:  September 7, 2012

Volume 39 • Issue 18 • Pages 1208-1209

 

Title 10
DEPARTMENT OF HEALTH AND MENTAL HYGIENE

Subtitle 37 HEALTH SERVICES COST REVIEW COMMISSION

10.37.10 Rate Application and Approval Procedures

Authority: Health-General Article, §§19-207, 19-214, and 19-214.1, Annotated Code of Maryland

Notice of Proposed Action

[12-242-P]

The Health Services Cost Review Commission proposes to amend Regulation .26 under COMAR 10.37.10 Rate Application and Approval Procedures. This action was considered and approved for promulgation by the Commission at a previously announced open meeting held on July 11, 2012, notice of which was given pursuant to State Government Article, §10-506(c), Annotated Code of Maryland. If adopted, the proposed amendments will become effective on or about November 26, 2012.

Statement of Purpose

The purpose of this action is to permit patients of other means-tested social services programs to be deemed presumptively eligible for free care.

Comparison to Federal Standards

There is no corresponding federal standard to this proposed action.

Estimate of Economic Impact

I. Summary of Economic Impact. The proposed action will expand presumptive eligibility of free care to patients of certain means-tested social service programs, resulting in a negligible increase in hospital rates under the Commission’s Uncompensated Care Policy.

 

 

Revenue (R+/R-)

 

II. Types of Economic Impact.

Expenditure
(E+/E-)

Magnitude

 


 

 

 

 

 

A. On issuing agency:

NONE

 

B. On other State agencies:

NONE

 

C. On local governments:

NONE

 

 

 

Benefit (+)
Cost (-)

Magnitude

 


 

 

 

 

 

D. On regulated industries or trade groups:

NONE

 

E. On other industries or trade groups:

(-)

Negligible

F. Direct and indirect effects on public:

(+)

Nominal

III. Assumptions. (Identified by Impact Letter and Number from Section II.)

E. The assumption is based on the expectation that payers will pay slightly higher rates due to the resulting negligible increase in a hospital’s uncompensated care provision.

F. The assumption is that more patients will qualify for presumptive eligibility for free hospital care.


Economic Impact on Small Businesses

The proposed action has minimal or no economic impact on small businesses.

Impact on Individuals with Disabilities

The proposed action has no impact on individuals with disabilities.

Opportunity for Public Comment

Comments may be sent to Dennis Phelps, Associate Director, Health Services Cost Review Commission, 4160 Patterson Avenue, Baltimore, MD 21215, or call 410-764-2565, or email to dphelphs@hscrc.state.md.us, or fax to 410-358-6217. Comments will be accepted through October 9, 2012. A public hearing has not been scheduled.

.26 Patient Rights and Obligations; Hospital Credit and Collection and Financial Assistance Policies.

A. — A-1 (text unchanged)

A-2. Hospital Financial Assistance Responsibilities.

(1) (text unchanged)

(2) Financial Assistance Policy.

(a) — (b) (text unchanged)

(c) Presumptive Eligibility for Free Care. Unless otherwise eligible for Medicaid or CHIP, patients who are beneficiaries/recipients of the following means-tested social services programs are deemed eligible for free care, provided that the patient submits proof of enrollment within 30 days unless the patient or the patient’s representative requests an additional 30 days:

(i) — (iii) (text unchanged)

(iv) Primary Adult Care Program (PAC), until such time as inpatient benefits are added to the PAC benefit package; [or]

(v) Women, Infants and Children (WIC); or

(vi) Other means-tested social services programs deemed eligible for hospital free care policies by the Department of Health and Mental Hygiene and the HSCRC.

(d) — (f) (text unchanged)

(3) — (8) (text unchanged)

B. — C. (text unchanged)

JOHN M. COLMERS
Chairman
Health Services Cost Review Commission