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10.09.47.00.htm 10.09.47.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 09 MEDICAL CARE PROGRAMS Chapter 47 Disproportionate Share Hospitals Authority: Health-General Article, §2-104(b) 15-103, and 15-105, Annotated Code of Maryland
10.09.47.01.htm 10.09.47.01. 01 Definitions.. A. In addition to the definitions contained in §B of this regulation, definitions set forth in COMAR 10.09.06.01 are applicable to this chapter.B. Terms Defined.. 1) "Charity care" means hospital care for which the costs are not reimbursed through any patient or third party.2) "Charity care inpatient costs" means hospital costs that are not reimbursed through any patient or third party, reduced by the amount of gifts, restricted grants, or income
10.09.47.02.htm 10.09.47.02. 02 Disproportionate Share Hospitals.. A. A Maryland hospital is considered a disproportionate share hospital for purposes of a disproportionate share payment if the hospital's:1) Medicaid inpatient utilization rate is at least one standard deviation above the mean Medicaid inpatient utilization rate for Maryland hospitals that are Medicaid providers; or2) Low-income utilization rate exceeds 25 percent.. B. To be considered a disproportionate share hospital, a hospital shall hav
10.09.47.03.htm 10.09.47.03. 03 Disproportionate Share Payment.. A. Free-Standing Acute General, Chronic, or Pediatric/Rehabilitation Hospitals.. 1) Except as set forth in §A(2) of this regulation, the disproportionate share payment for disproportionate share hospitals that are free-standing hospitals licensed as acute general, chronic, or jointly as pediatric and rehabilitation equals an amount determined in accordance with 42 CFR §412.106, but only if the hospital qualifies as a disproport
10.09.47.04.htm 10.09.47.04. 04 Interpretive Regulation.. Except when the language of a specific regulation indicates an intent by the Department to provide reimbursement for covered services to Program recipients without regard to the availability of federal financial participation, State regulations shall be interpreted in conformity with applicable federal statutes and regulations.
10.09.47.9999.htm 10.09.47.9999. Administrative History Effective date:. Regulations .01―04 adopted as an emergency provision effective June 1, 1992 (19:12 Md. R. 1131) adopted permanently September 1, 1992 (19:17 Md. R. 1607)Regulation .03 amended as an emergency provision effective February 17, 1993 (20:5 Md. R. 511) amended permanently effective May 24, 1993 (20:10 Md. R. 852)Regulation .03D amended effective September 25, 2017 (44:19 Md. R. 896).
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