Md. Code Regs. 10.25.05.04

Current through Register Vol. 51, No. 12, June 14, 2024

Section 10.25.05.04 - Requests for Medicaid Data

A. An application submitted to the Commission that includes a request for Medicaid data shall be referred to Medicaid for review after Commission staff has reviewed the application and determined the application to be complete in accordance with Regulation .06 of this chapter.

B. Medicaid shall review an application referred pursuant to §A of this regulation and notify Commission staff in writing within 15 business days of the date of referral of Medicaid's decision to:

(1) Proceed with its own independent application review and decision-making process on that part of an application requesting Medicaid data:

(a) Without further involvement or participation of Commission staff, the DRAC, or the full Commission; and

(b) That is not governed by the review and decision-making process in Regulations .07-14 of this chapter;

(2) Decline to proceed with its own independent application review and decision-making process as described in §B(1) of this regulation and direct Commission staff to proceed with processing the referred application in accordance with Regulations .07-11 of this chapter; or

(3) Disapprove the request for Medicaid data based on the information provided in an application, in which case Medicaid shall provide reasons for the disapproval in the written notification to Commission staff.

C. If Commission staff does not receive written notification from Medicaid within 15 business days of referring an application to Medicaid pursuant to §§A and B of this regulation, Commission staff shall proceed with processing the application in accordance with Regulations .07-11 of this chapter.

Md. Code Regs. 10.25.05.04

Regulation .04 amended effective December 23, 2002 (29:25 Md. R. 1983); adopted effective 48:25 Md. R.1071-1098, eff. 12/13/2021