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Code of Maryland Regulations (Last Updated: April 6, 2021) |
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Title 10. Maryland Department of Health |
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Part 2. |
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Subtitle 09. MEDICAL CARE PROGRAMS |
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Chapter 10.09.10. Nursing Facility Services |
| Sec. 10.09.10.00. Notations |
| Sec. 10.09.10.01. Definitions |
| Sec. 10.09.10.02. License Requirements |
| Sec. 10.09.10.03. Conditions for Participation |
| Sec. 10.09.10.04. Covered Services |
| Sec. 10.09.10.05. Limitations |
| Sec. 10.09.10.06. Preauthorization Requirements |
| Sec. 10.09.10.07. Prospective Rates |
| Sec. 10.09.10.08. Interim Working Capital Fund |
| Sec. 10.09.10.09. Rate Calculation — Administrative and Routine Costs |
| Sec. 10.09.10.10. Rate Calculation — Other Patient Care Costs |
| Sec. 10.09.10.11. Rate Calculation — Capital Costs |
| Sec. 10.09.10.12. Rate Calculation — Nursing Service Costs |
| Sec. 10.09.10.13. Ventilator Care Nursing Facilities |
| Sec. 10.09.10.14. Pay-for-Performance — Eligibility |
| Sec. 10.09.10.15. Pay-for-Performance — Quality Measures |
| Sec. 10.09.10.16. Pay-for-Performance — Scoring Methodology |
| Sec. 10.09.10.17. Pay-for-Performance — Payment for Improvement |
| Sec. 10.09.10.18. Pay-for-Performance — Scoring Data Review |
| Sec. 10.09.10.19. Pay-for-Performance — Payment Distribution |
| Sec. 10.09.10.20. Payment Procedures — Out-of-State Facilities |
| Sec. 10.09.10.21. Cost Reporting |
| Sec. 10.09.10.22. Desk Reviews and Field Verification |
| Sec. 10.09.10.23. Third Party Liability Reviews and Audits of Nursing Facilities |
| Sec. 10.09.10.24. MDS Validation and Ventilator Care Validation |
| Sec. 10.09.10.25. New Nursing Facilities, Replacement Facilities, and Change of Ownership |
| Sec. 10.09.10.26. Selected Costs — Allowable |
| Sec. 10.09.10.27. Selected Costs — Not Allowable |
| Sec. 10.09.10.28. Recipient's Resource |
| Sec. 10.09.10.29. Recipient's Personal Needs Fund |
| Sec. 10.09.10.30. Reimbursement Classes |
| Sec. 10.09.10.31. Nursing Service Personnel and Procedures |
| Sec. 10.09.10.32. Recovery and Reimbursement |
| Sec. 10.09.10.33. Cause for Suspension or Removal and Imposition of Sanctions |
| Sec. 10.09.10.34. Appeal Procedures |
| Sec. 10.09.10.35. Interpretive Regulation |
| Sec. 10.09.10.9999. Administrative History |