PROPOSAL
Maryland Register
Issue Date: May 12, 2017
Volume 44 • Issue 10 • Page 492
Title 10
DEPARTMENT OF HEALTH AND MENTAL HYGIENE
Subtitle 09 MEDICAL CARE PROGRAMS
10.09.48 Targeted Case Management for People with Developmental Disabilities
Authority: Health-General Article, §§2-104(b), 15-103, and 15-105, Annotated Code of Maryland
Notice of Proposed Action
[17-132-P]
The Secretary of Health and Mental Hygiene proposes to amend Regulation .08 under COMAR 10.09.48 Targeted Case Management for People with Developmental Disabilities.
Statement of Purpose
The purpose of this action is to update reimbursement rates based on the cost of living allowance approved by the General Assembly.
Comparison to Federal Standards
There is no corresponding federal standard to this proposed action.
Estimate of Economic Impact
I. Summary of Economic Impact. The program will implement a rate increase approved by the General Assembly. The proposed action increases the rate paid to providers.
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Revenue (R+/R-) |
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II. Types of Economic Impact. |
Expenditure (E+/E-) |
Magnitude |
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|
|
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A. On issuing agency: |
(E+) |
$1,294,430 |
B. On other State agencies: |
NONE |
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C. On local governments: |
NONE |
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|
|
Benefit (+) Cost (-) |
Magnitude |
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|
|
|
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D. On regulated industries or trade groups: |
(+) |
$1,294,430 |
E. On other industries or trade groups: |
NONE |
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F. Direct and indirect effects on public: |
NONE |
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III. Assumptions. (Identified by Impact Letter and Number from Section II.) |
A. The proposed rate increases represent a 3.5 percent increase over the current published rate of $17.39 per unit in FY 16. The increase will be paid to providers of targeted case management. |
D. As a result of increasing the per unit rate for targeted case management services, providers will receive increased payments, totaling $1.46 million in FY 17. |
Economic Impact on Small Businesses
The proposed action has a meaningful economic impact on small business. An analysis of this economic impact follows.
The proposed action has a meaningful economic impact on small businesses because the higher reimbursement rates infuse dollars into targeted case management entities that provide these services in the community.
Impact on Individuals with Disabilities
The proposed action has no impact on individuals with disabilities.
Opportunity for Public Comment
Comments may be sent to Michele Phinney, Director, Office of Regulation and Policy Coordination, Department of Health and Mental Hygiene, 201 West Preston Street, Room 512, Baltimore, MD 21201, or call 410-767-6499 (TTY 800-735-2258), or email to dhmh.regs@maryland.gov, or fax to 410-767-6483. Comments will be accepted through June 12, 2017. A public hearing has not been scheduled.
.08 Payment Procedures.
A. (text unchanged)
B. Payment Rates.
(1)—(2) (text unchanged)
(3) For all other services, providers shall be reimbursed:
(a)—(c) (text unchanged)
(d) $16.88 per unit of service from January 1, 2015 through June 30, 2015; [and]
(e) $17.39 per unit of service [thereafter] from January 1, 2016 through June 30, 2016; and
(f) $17.99 per unit of service thereafter.
C.—E. (text unchanged)
DENNIS R. SCHRADER
Secretary of Health and Mental Hygiene