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Md. Code Regs. 10.09.10 – Nursing Facility Services | Midpage
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Code of Maryland Regulations
Title 10
§ 09
Chapter 10
Md. Code Regs. 10.09.10
Nursing Facility Services
Effective Mar 31, 2025
.01
Definitions.
.02
License Requirements.
.03
Conditions for Participation.
.04
Covered Services.
.05
Limitations.
.06
Preauthorization Requirements.
.07
Prospective Rates.
.08
Interim Working Capital Fund.
.09
Rate Calculation — Administrative and Routine Costs.
.10
Rate Calculation — Other Patient Care Costs.
.11
Rate Calculation — Capital Costs.
.12
Rate Calculation — Nursing Service Costs.
.13
Ventilator Care Nursing Facilities.
.14
Pay-for-Performance — Eligibility.
.15
Pay-for-Performance — Quality Measures.
.16
Pay-for-Performance — Scoring Methodology.
.17
Pay-for-Performance — Payment for Improvement.
.18
Pay-for-Performance — Scoring Data Review.
.19
Pay-for-Performance — Payment Distribution.
.20
Payment Procedures — Out-of-State Facilities.
.21
Cost Reporting.
.22
Desk Reviews and Field Verification.
.23
Third Party Liability Reviews and Audits of Nursing Facilities.
.24
MDS Validation and Ventilator Care Validation.
.25
New Nursing Facilities, Replacement Facilities, and Change of Ownership.
.26
Selected Costs — Allowable.
.27
Selected Costs — Not Allowable.
.28
Recipient's Resource.
.29
Recipient's Personal Needs Fund.
.30
Reimbursement Classes.
.31
Nursing Service Personnel and Procedures.
.32
Recovery and Reimbursement.
.33
Cause for Suspension or Removal and Imposition of Sanctions.
.34
Appeal Procedures.
.35
Interpretive Regulation.