​​​​​​​​​​​​​​​​​​​​

​Hospital Rate Setting

​​​​​​​​​​
​​​​​​​​​​​​​​

Policy Clarifications and Regulation Updates

​Official correspondence is required for HSCRC to communicate clarifications to policies and/or regulations. Each of these are accessible below by the year in which they were released.​

2024

2023

 

​Financial Assistance - Elective Procedures - 1/16

Continued Suspension of Telehealth Regulations– COMAR 10.37.10.07-1 and Other COVID-19 Related Temporary Approvals - 1/16

Special Audit Procedures to be performed by the Independent CPAs for all Maryland for FY 2022 – December Hospitals​ - 1/17

Increase In FY 2023 Undercharge Unit Rate Corridors / FY 2022 Lab Undercharge Penalties​ - 2/15

Adjustment to the Public Payer Differential​ ​- 3/1

FY 2023 Compliance for GBR and Unit Rates​ - 3/23

Continued Suspension of Telehealth Regulations– COMAR10.37.10.07-1 and Other COVID-19 Related Temporary Approvals​ - 4/27

Physical Therapy Services, Occupational Therapy Services Relative Value Units & Revision to the Chart of Account related to Observation - MEMO  - 6/21

Physical Therapy & Occupational Therapy  /   Observation   /    Appendix D   /  PTH & OT​H RVUs​​ (EXCEL) ​- 6/21

FY24 Hospital Employee Retraining Fund Instructions   /  Calculation Schedule​ - 6/23

FY 2024 Maternal and Child Health (MCH) Improvement Fund Assessment​ - 6/27

Medicare Graduate Education Discounts​​    /   Calculation of FY 2024 Medicare GME Discounts    /   FY 2024 GME Discounts​   /   - 6/28​

FY 2024 Health Care Coverage Assessment - Procedures for Submission   /   Calculations - 6/30

FY 2024 Medicaid Budget Deficit - Procedures for Submission​​​ - 6/30

Special Audit Pr​ocedures to be performed by the Independent CPAs for all Maryland for FY 2023 – June Hospitals​    /    FY 2023 DCFA Worksheet ​- 7/18

FY 2024 Chesapeake Regional Information System for our Patients - CRISP​  /  Calculation Worksheet​ - 7/31

FY 2024 Uncompensated Care Fund Payments​ - 8/9

HSCRC FY 2023 Annual Report Filing​ - 8/10


FY 2023 Supplemental Debit Collection and Financial Assistance
Filing Guidance #2​
- 10/26

Annual Filing Modernization​ - 11/30

FY 2023 Debit Collection and Financial Assistance Guidance    /    DCFA Worksheet​   - 12/6

HSCRC FY 2023 Annual Report Filing - 12/20

Special Audit Procedures to be performed by the Independent CPAs for all Maryland​ for FY 2023 - December Hospitals​ - 12/20​

2022

 
























2021

 

Special Audit Procedures to be Performed by the Independent CPAs for all Maryland for FY 2020 - D​ecember Hospitals​​1/6

Update - Charging and Reporting for COVID-19 Laboratory Tests / RVUs​ - 1/22

Update - Charging and Reporting Changes for High Throughput COVID-19 Laboratory Tests / RVUs​  - 1/27

Reporting and Charging for the Administration of COVID-19 Vaccines​ - 3/16

Reporting and Charging for the Administration of Monoclonal Antibody Infusions​ - 5/10

Hospital Employees Retraining Fund Assessment - Procedures for Submission / Hospital Employees Retraining Fund 2022​ - 5/19

Special Audit Procedures to be performed by the Independent CPAs for all Maryland for FY 2021- June Hospitals - 6/10

Chesapeake Regional Information System for our Patients (CRISP) Assessment​​​ / Calculation Spreadsheet​ - CORRECTIONS - 6/11

Disclosure of Outpatient Facility FeesHouse Bill 915 - 6/14

Correction of Patient Complaint Mailbox - House Bill 915 - 6/21

Continuation of Expanded Telehealth ServicesSecond Revised Telehealth Addendum to Accounting and Budget Manu​al Standard Units of Measure References - Appendix D​​ - 6/23

Medicare Graduate Education DiscountsFY 2022 ​GME Discounts​​ ​- 6/28

Required Annual Updates to the GBR Agreement Appendices GBR-Appendices F and G FY21​ - 7/1

FY 2022 Medica​id Budget D​eficit Proc​edures for Submission​​ - CORRECTION / Calculation Worksheet - 7/2

FY 2022 Health Care Coverage Proce​dures for Submisson - / Calculation Worksheet​ - 7/2

CY 2019 Volume Rebasing in RY 2022 Rate Files​ - 7/19

Filing the Annual Cost Report for FY 2021​ - 7/29

FY 2022 Uncompensated Care Fund Payments​ - 8/13

Reporting and Charging for the Administration of Additional Doses of COVID-19 Vaccinations - 9/2​

DCFA Schedule Update MEMO / Schedule DCFA Instructions / Schedule DCFA (Excel)​ - 10/8

Blanket Extension for filing the FY2021 Annual Cost Report & Reporting Premium Paid for Contract Labor​ - 10/14

Hospice Agreement Contracts - 10/25

Blanket Extension for Filing the FY2021 Annual Reports - 10/26

Procedures and Template for the Filing and Docketing of Full Rate Review RequestsTemplate​ - 10/29

Chapter 770 of the Laws of 2021, Health Facilities - Hospitals - Medical Debt ProtectionCharkoudian Letter - 12/15

Emergency Funding to Address Staffing Needs & COVID-19​ - 12/23





2020

 

2019

  FY20 Health Care Coverage Assessment ​- 6/17


Special Audit Procedures to be Performed by the Independent CPA's of 
all Maryland Hospitals - 6/13





 









2018

 
FY 2018 CDS-A​ - August 10

2017

  ​​​

2016

 

2015

 
Requirements for Strategic Hospital Tranformation Plan *updated (see note in Date) - November 13
Extension of Submission Date for Transformation Implementation Program RFP to December 21, 2015 - Nov 13
Current Financing Guidelines - October 2
Transitioning the Chronic Data to the Inpatient Patient Level Datasets (Letterhead to be corrected.) - September 16
APR-DRG and PPC versions for ICD-10 and Submission of Case Mix Data for Testing - September 11
Clarification of the Expected Payer and Health Plan Codes - September 9
Quality Based Reimbursement Rate Year 2016 Final Rankings and Scaling Results - September 2
Requirement for Strategic Hospital Transformation Plan - August 28
Gross Patient Revenue Reconciliation - August 12
Global Budget Demographic Adjustment for Rate Year 2016 - July 23
FY 2016 Case Mix Data Submission Schedule and Guidance for Transition to ICD-10 - July 22
CRISP Procedures for Submission - & - CRISP Funding Worksheet FY 16 - July 1
Comments on Current Financing Guidelines - June 26
Health Care Coverage Assessment - & - Payments to the Maryland HealthCare Fund- *Revised June 22
Medicaid FY 2016 Budget Deficit Assessments - & - Payments to the Deficit Assessment Fund- *Revised June 22
Radiation Therapy RVU Update - & - Section 200 - & - Appendix D- June 16
Schedule CSS – Medical/Surgical Supplies & Drugs Approved Overhead Compliance - June 3
Readmission Reduction Incentive Program Revenue Adjustments for RY2016 - May 28
Maryland Hospital Acquired Conditions (MHAC) Final Rankings and Scaling Results - May 26
HSCRC Adoption of 3M National Grouper for FY 16 - & - Inpatient Casemix Weights - May 15
Collection Agency Fees and Attorney's Expenses Associated with Bad Debts - May 15
Respiratory Therapy Relative Value Units - May 14
Medicare Graduate Medical Education (GME) Discount Provided - May 13
Amended July 1, 2014 Rate Orders - May 7
BRFA FY 15 Submission Procedures - May 6
Medicare Therapy Capitations - May 5
Updated Pension, Wage and Salary Survey and Section 500 Instructions
& - Data Collection Tool for Survey - Due Date: June 1, 2015

Updated Denial Memo and Reporting Instructions - & - Updated Denials Form - April 16
Readmissions Reduction Incentive Program Policies for Rate Year (RY) 2017 - April 2
Maryland Hospital Acquired Condition (MHAC) Program Scaling for RY 2017 - April 2
Maryland Hospital Acquired Conditions Program Summary for FY 2017 - February 5
Final UCC Write Off Report Instructions - & - Final UCC Write Off Reporting Form - March 18, 2015
FY 2016 Global Budgets Transfer Adjustment - March 6
GBR Infrastructure Reporting - & - Reporting Template  - Feb. 9
Current Financing Guidelines - Jan. 1

2014

 

2013

2012

2011

2010

2009

2008

2007

2006

2005

Human Trafficking GET HELP

National Human Trafficking Hotline - 24/7 Confidential

1-888-373-7888 233733 More Information on human trafficking in Maryland

Customer Service Promise

The State of Maryland pledges to provide constituents, businesses, customers, and stakeholders with friendly and courteous, timely and responsive, accurate and consistent, accessible and convenient, and truthful and transparent services.

Take Our Survey

Help Stop Fraud in State Government

The Maryland General Assembly’s Office of Legislative Audits operates a toll-free fraud hotline to receive allegations of fraud and/or abuse of State government resources. Information reported to the hotline in the past has helped to eliminate certain fraudulent activities and protect State resources.

More Information