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Ch. 464
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2002 LAWS OF MARYLAND
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(3) its schedule for bringing Maryland's fee-for-service reimbursement
rates to a level that assures that all health care providers are reimbursed adequately
to provide access to care; and
(4) an analysis on the estimated costs of implementing the schedule and
any proposed changes to the fee-for-service reimbursement rates for the Maryland
Medical Assistance Program and the Maryland Children's Health Program.
SECTION 2. AND BE IT FURTHER ENACTED, That:
(a) The Department of Health and Mental Hygiene shall establish a process to
annually act the fee for service reimbursement rates for the public mental health
system in a manner that ensures participation of providers.
(b) In determining the rates for outpatient mental health clinics, the
Department shall consider the Medicare allowable charges for comparable CPT
Codes.
(e) In determining the rates for public mental health system services having
no Medicare CPT Code equivalent, the Department shall consider the reasonable
costs of and the Medicare Principles of Reimbursement for relevant factors, including:
(1) staffing;
(2) overhead;
(3) capital needs; and
(4) annual medical inflation.
(a) The Department of Health and Mental Hygiene shall establish a process to
annually set the fee-for-service reimbursement rates for the public mental health
system in a manner that ensures participation of providers.
(b) In determining the rates for outpatient mental health clinics, the
Department shall consider the Medicare-allowable charges for comparable CPT
Codes.
(c) In determining the rates for public mental health system services having no
Medicare CPT Code equivalent, the Department shall consider the reasonable costs of
and the Medicare Principles of Reimbursement for relevant factors, including:
(1) staffing;
(2) overhead;
(3) capital needs; and
(4) annual medical inflation.
(d) On or before September 1 of each year, the Department shall report to the
Governor, and in accordance with § 2-1246 of the State Government Article, the Senate
Finance Committee, the Senate Budget and Taxation Committee, the House
Environmental Matters Committee, and the House Appropriations Committee on;
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- 3712 -
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