Md. Code Regs. 10.25.06.09

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

Section 10.25.06.09 - Provider Directory Report Submission

A. Each reporting entity shall submit a provider directory report detailing each health care practitioner or supplier that provided services to any enrollee of that reporting entity during the reporting period. This report shall contain information for each in-State Maryland practitioner or supplier, and for each out-of-State practitioner or supplier that has served a Maryland resident or a non-Maryland resident under a Maryland contract.

B. Each provider directory report shall include a crosswalk to each practitioner or supplier ID listed in the professional services data report submitted under Regulation .07 of this chapter or the pharmacy data report submitted under Regulation .08 of this chapter.

C. Each provider directory 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. 10.25.06.09

Regulations .09 adopted effective August 21, 2000 (27:16 Md. R. 1525)
Regulations .09 adopted effective April 19, 2010 (37:8 Md. R. 617)
Regulations .09 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