Md. Code Regs. 10.25.06.04

Current through Register Vol. 51, No. 18, September 6, 2024

Section 10.25.06.04 - Process for Submitting Data

A. The Commission shall provide each reporting entity with an annual update to the MCDB Submission Manual, and each current Manual update available, as specified in Regulation .15 of this chapter.

B. Each reporting entity shall provide each of the following reports, if applicable:

(1) Professional Services Data Report;

(2) Pharmacy Data Report;

(3) Provider Directory Report;

(4) Institutional Services Data Report;

(5) Eligibility Data Report;

(6) Plan Benefit Design Report;

(7) Dental Services Data Report; and

(8) Non-Fee-for-Service Expenses Report.

C. An MCO shall provide each required report to the Commission through the Maryland Medical Assistance Program, which will provide the MCO reports and related information to the Commission.

Md. Code Regs. 10.25.06.04

Regulations .04 adopted effective August 21, 2000 (27:16 Md. R. 1525)
Regulations .04 adopted effective April 19, 2010 (37:8 Md. R. 617)
Regulations .04 adopted as an emergency provision effective January 9, 2014 (41:3 Md. R. 200); adopted permanently effective 41:5 Md. R. 344, eff.3/17/2014 ; amended effective 48:21 Md. R. 889, eff. 10/18/2021