Md. Code Regs. 10.25.06.07

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

Section 10.25.06.07 - Professional Services Data Report Submission

A. Each reporting entity shall submit a professional services data report that provides the data for each fee-for-service and capitated encounter, including fee-for-service equivalents prices for capitated services, provided by a health care practitioner or office facility. This report shall include all health care services provided:

(1) To each Maryland resident insured by that entity under a fully insured or a self-insured contract; and

(2) To each non-Maryland resident insured under a Maryland contract.

B. Each professional services data report shall contain the information specified by the Commission in its annual update to the MCDB Submission Manual and be filed in a form and manner specified in the Manual.

Md. Code Regs. 10.25.06.07

Regulations .07 adopted effective August 21, 2000 (27:16 Md. R. 1525)
Regulations .07 adopted effective April 19, 2010 (37:8 Md. R. 617)
Regulations .07 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
Regulation .07A amended effective October 18, 1999 (26:21 Md. R. 1629); amended effective 48:21 Md. R. 889, eff. 10/18/2021