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Free Care Refunds Implementation Updates

​Medical Bill Reimbursement Process:

Chapter 310 (House Bill 333) requires hospitals to provide refunds to individuals who paid for hospital services received in any year between 2017 and 2021 and were eligible, at the time of service, for free care from the hospital under Maryland law relating to hospital financial assistance.​

Implementation of this law requires development of complex policies and procedures related to data exchange, data security, consumer support, and consumer communication. HSCRC, the Maryland Department of Health (WIC/MDH), Department of Human Services (DHS), Office of the Comptroller (COM), State Department of Education (MSDE), and Health Education and Advocacy Unit (HEAU), and the Maryland Hospital Association (MHA) are working diligently to ensure that consumers receive the refunds they are entitled to.  

HSCRC expects the data exchange that will be used to identify patients who are eligible for refunds from hospitals under this law to begin in mid-2024. The first refunds will likely be sent to consumers later in 2024. The reimbursement process will continue through the sunset date of the law in mid-2025. 

Hospital Reimbursement Workgroup - April 22, 2024, 1-2pm

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Draft Process Document



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