The application may be filed by private messenger at the Offices of the Commission, or may be filed by registered mail, return receipt requested, at the following address: Health Services Cost Review Commission 4160 Patterson Avenue Baltimore, Maryland 21215

Authority: Health-General Article, §§15-601 et seq. and 19-201, 19-207, 19-210—19-214, 19-214.1, 19-214.2, 19-214.3, 19-216—19-220, and 19-222; Insurance Article, §§14-501, 14-502, and 14-504; State Government Article, §10-304(b); Annotated Code of Maryland

Effective date: November 7, 1974 (1:4 Md. R. 177)

Regulation .16 amended effective August 20, 1975 (2:18 Md. R. 1234)

Regulation .100 adopted effective December 10, 1975 (2:28 Md. R. 1680)

Chapter revised effective October 27, 1976 (3:22 Md. R. 1250)

Regulation .01 amended effective November 8, 2004 (31:22 Md. R. 1595)

Regulation .01I, J adopted effective January 8, 1990 (16:26 Md. R. 2794)

Regulation .01K adopted effective May 12, 2003 (30:9 Md. R. 615)

Regulation .01-1 adopted effective October 5, 1998 (25:20 Md. R. 1531)

Regulation .02B amended effective December 14, 1987 (14:25 Md. R. 2660)

Regulation .03 amended as an emergency provision effective June 15, 1998 (25:14 Md. R. 1127); emergency status expired December 15, 1998

Regulation .03 amended effective August 5, 2002 (29:15 Md. R. 1142); January 15, 2018 (45:1 Md. R. 14)

Regulation .03A amended as an emergency provision effective July 1, 2000 (27:17 Md. R. 1616); emergency status extended at 27:26 Md. R. 2356; emergency status extended at 28:7 Md. R. 687; emergency status expired July 1, 2001

Regulation .03A amended effective November 7, 2005 (32:22 Md. R. 1756); October 8, 2007 (34:20 Md. R. 1740); April 11, 2016 (43:7 Md. R. 450); January 16, 2017 (44:1 Md. R. 12); December 13, 2021 (48:25 Md. R. 1080)

Regulation .03A amended as an emergency provision effective November 3, 2022 (49:25 Md. R. 1048); emergency provision expired May 1, 2023

Regulation .03A amended effective May 1, 2023 (50:8 Md. R. 338)

Regulation .03B amended effective September 1, 2003 (30:17 Md. R. 1203); March 15, 2004 (31:5 Md. R. 449)

Regulation .03C adopted effective November 19, 1984 (11:23 Md. R. 1993)

Regulation .03C amended effective October 3, 1988 (15:20 Md. R. 2334)

Regulation .03D adopted effective January 8, 1990 (16:26 Md. R. 2794)

Regulation .03D recodified as .03C effective August 5, 2002 (29:15 Md. R. 1142)

Regulation .03D adopted as an emergency provision effective January 1, 2004 (31:4 Md. R. 313); adopted permanently effective May 10, 2004 (31:9 Md. R. 713)

Regulation .03D amended as an emergency provision effective July 1, 2009 (36:15 Md. R. 1163); amended permanently effective October 5, 2009 (36:20 Md. R. 1529)

Regulation .03-1 adopted effective November 8, 2004 (31:22 Md. R. 1595)

Regulation .03-1A amended effective January 15, 2018 (45:1 Md. R. 14)

Regulation .03-1B amended effective May 8, 2006 (33:9 Md. R. 796); April 11, 2016 (43:7 Md. R. 450)

Regulation .04 amended effective June 15, 1979 (6:12 Md. R. 1050)

Regulation .04C adopted effective May 1, 2023 (50:8 Md. R. 338)

Regulation .04-1 adopted as an emergency provision effective October 8, 1998 (25:22 Md. R. 1650); adopted permanently effective February 8, 1999 (26:3 Md. R. 175)

Regulation .04-1 amended as an emergency provision effective May 21, 2001 (28:13 Md. R. 1214); amended permanently effective September 3, 2001 (28:17 Md. R. 1557)

Regulation .04-1 amended effective January 15, 2018 (45:1 Md. R. 14)

Regulation .04-2 adopted effective November 13, 2000 (27:22 Md. R. 2060)

Regulation .04-2 amended effective April 30, 2001 (28:8 Md. R. 760); January 15, 2018 (45:1 Md. R. 14)

Regulation .04-2A, C amended effective January 12, 2009 (36:1 Md. R. 22)

Regulation .04-2C amended effective October 9, 2006 (33:20 Md. R. 1617)

Regulation .04-3 adopted effective November 13, 2000 (27:22 Md. R. 2060)

Regulation .04-3 amended effective April 30, 2001 (28:8 Md. R. 760); January 15, 2018 (45:1 Md. R. 14)

Regulation .05 amended as an emergency provision effective July 1, 2000 (27:17 Md. R. 1617); amended permanently effective November 13, 2000 (27:22 Md. R. 2060)

Regulation .05 amended effective September 3, 2001 (28:17 Md. R. 1557)

Regulation .05F amended as an emergency provision effective November 3, 2022 (49:25 Md. R. 1048); emergency provision expired May 1, 2023

Regulation .05F amended effective May 1, 2023 (50:8 Md. R. 338)

Regulation .06E adopted effective August 28, 1995 (22:17 Md. R. 1318)

Regulation .06E amended effective September 9, 1996 (23:18 Md. R. 1317); November 4, 1996 (23:22 Md. R. 1497); February 9, 1998 (25:3 Md. R. 146)

Regulation .06E recodified to .06F and new .06E adopted effective October 5, 1998 (25:20 Md. R. 1531)

Regulation .06F amended effective March 4, 2013 (40:4 Md. R. 346)

Regulation .06G adopted effective October 9, 2006 (33:20 Md. R. 1617)

Regulation .07 amended effective August 31, 1977 (4:18 Md. R. 1398)

Regulation .07-1 adopted effective September 10, 2007 (34:18 Md. R. 1580)

Regulation .07-1A amended effective December 13, 2021 (48:25 Md. R. 1080)

Regulation .07-1C amended effective December 21, 2015 (42:25 Md. R. 1544); May 9, 2016 (43:9 Md. R. 530)

Regulation .07-1E amended effective May 14, 2012 (39:9 Md. R. 612)

Regulation .07-1K, L adopted effective December 13, 2021 (48:25 Md. R. 1080)

Regulation .07-2 adopted effective January 16, 2017 (44:1 Md. R. 12)

Regulation .10C amended effective April 9, 1984 (11:7 Md. R. 626); March 8, 1999 (26:5 Md. R. 391); December 21, 2015 (42:25 Md. R. 1544)

Regulations .11C and .12B amended effective May 29, 1981 (8:11 Md. R. 975)

Regulation .11G adopted effective January 15, 2018 (45:1 Md. R. 14)

Regulation .13B amended effective September 19, 1980 (7:19 Md. R. 1806)

Regulation .13H adopted effective July 28, 1978 (5:15 Md. R. 1190) (originally codified as Regulation .12G)

Regulation .14I amended effective December 12, 2002 (29:24 Md. R. 1919)

Regulation .20 amended effective April 9, 1984 (11:7 Md. R. 626); March 8, 1999 (26:5 Md. R. 391)

Regulation .23 amended effective May 11, 1977 (4:10 Md. R. 767)

Regulation .25I adopted effective May 9, 1983 (10:9 Md. R. 791)

Regulation .26 amended as an emergency provision effective June 19, 2009 (36:15 Md. R. 1163); amended permanently effective October 5, 2009 (36:20 Md. R. 1530)

Regulation .26 amended effective November 15, 2010 (37:23 Md. R. 1611); December 11, 2025 (52:24 Md. R. 1198)

Regulation .26A amended effective July 1, 1988 (15:13 Md. R. 1555); April 3, 1989 (16:6 Md. R. 728); November 26, 1990 (17:23 Md. R. 2732); March 30, 1992 (19:6 Md. R. 674); June 7, 1993 (20:11 Md. R. 913); July 5, 1993 (20:13 Md. R. 1049); August 1, 1994 (21:15 Md. R. 1306)

Regulation .26A amended as an emergency provision effective June 1, 1996 (23:13 Md. R. 938); emergency status expired November 13, 1996

Regulation .26A amended December 30, 1996 (23:26 Md. R. 1860)

Regulation .26A amended as an emergency provision effective November 24, 1997 (24:26 Md. R. 1752); emergency status extended to August 31, 1998 (25:12 Md. R. 943); emergency status extended to October 31, 1998 (25:18 Md. R. 1431)

Regulation .26A amended October 5, 1998 (25:20 Md. R. 1531)

Regulation .26A amended as an emergency provision effective February 25, 1999 (26:6 Md. R. 480); amended permanently effective June 28, 1999 (26:13 Md. R. 1020)

Regulation .26A amended as an emergency provision effective June 26, 2000 (27:15 Md. R. 1397); amended permanently effective November 13, 2000 (27:22 Md. R. 2060)

Regulation .26A amended as an emergency provision effective December 6, 2000 (28:3 Md. R. 203); amended permanently effective April 30, 2001 (28:8 Md. R. 760)

Regulation .26A amended effective October 29, 2001 (28:21 Md. R. 1856); May 13, 2002 (29:9 Md. R. 745)

Regulation .26A repealed effective September 1, 2003 (30:17 Md. R. 1203)

Regulation .26A amended effective November 15, 2010 (37:23 Md. R. 1611); August 6, 2012 (39:15 Md. R. 963); May 6, 2019 (46:9 Md. R. 445); April 5, 2021 (48:7 Md. R. 259)

Regulation .26A-2 amended effective December 10, 2012 (39:24 Md. R. 1577); April 5, 2021 (48:7 Md. R. 259)

Regulation .26A-3 adopted effective April 5, 2021 (48:7 Md. R. 259)

Regulation .26B amended effective October 3, 1988 (15:20 Md. R. 2334); May 29, 1989 (16:10 Md. R. 1109); May 14, 1990 (17:9 Md. R. 1092); August 1, 1994 (21:15 Md. R. 1306); March 11, 1996 (23:5 Md. R. 380); September 30, 2002 (29:19 Md. R. 1524); April 10, 2006 (33:7 Md. R. 673); April 5, 2010 (37:7 Md. R. 572); August 4, 2014 (41:15 Md. R. 891)

Regulation .26C adopted as an emergency provision effective April 7, 1998 (25:9 Md. R. 677); emergency status expired July 22, 1998; adopted permanently effective September 7, 1998 (25:18 Md. R. 1435)

Regulation .26-1 adopted effective May 12, 2003 (30:9 Md. R. 615)

Regulation .26-1 amended as an emergency provision effective June 12, 2008 (35:14 Md. R. 1244); amended permanently effective October 6, 2008 (35:20 Md. R. 1775)

Regulation .26-1B amended as an emergency provision effective March 21, 2014 (41:8 Md. R. 468); emergency status extended to August 1, 2014 (41:15 Md. R. 888); amended permanently effective July 7, 2014 (41:13 Md. R. 753)

Regulation .26-1 amended as an emergency provision effective July 1, 2015 (42:16 Md. R. 1053); amended permanently effective November 9, 2015 (42:22 Md. R. 1378)

Regulation .26-2 adopted effective March 9, 2009 (36:5 Md. R. 423)

Regulation .27A amended effective February 18, 2002 (29:3 Md. R. 221)

Regulation .100 recodified as Regulation .33

Regulation .34 adopted effective August 1, 1987 (14:15 Md. R. 1660)

Regulation .35 adopted effective August 1, 1987 (14:15 Md. R. 1660)

Regulation .36 adopted effective August 1, 1987 (14:15 Md. R. 1660)