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​Hospital Rate Setting

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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

 

Upcoming Annual Filing Modernization Feasibility Surveys Memorandum​ - 1/31​

Working Capital Payors​ - 4/25​

Adjustment to Public Payer Differential​ - 5/7

Clinician Services Supplemental Schedule v1   /   Annu​al Filing Modernization - Clinician Cost Supplemental Schedule Workbook​ - 5/23

Speech (STH) Audiolo​gy (AUD) Relative Value Units & Revision to the Chart of Account related to Medical Supplies Sold (MSS)​  - 6/20

Appendix D - Speech (STH)   /  Audiology (AUD)   - 6/20

Chart of Accounts - Speech (STH)   /  Audiology (AUD)   /  Medical Supplies Sold (MSS)​  - 6/20

FY25 Chesapeake Regional Information System for our Patients Assessment (CRISP) Assessment​ - 6/21

Graduate Medical Education (GME) Memo   /   GME DIscounts   / GME DIscount Calculations ​ - 7/1

CDS-A Advanced Funding    /  FY24 v FY23 Estimated CDS-A Funding​  - 7/2

HSCRC FY 2024 Annual Report Filing - 7/5

Changes in Financial Assistance Law - HB 328​ - 7/5

Special Audit Procedures to be performed by the Independent CPAs for all Maryland Hospitals  /   Template for Reporting Costs of Shared Services and/or Allocations​  - 7/9

Proposed Changes to the Accounting and Budget Manual  /  Summary of Phase One Changes - HSCRC Accounting and Budget Manual - 7/15

​FY 2025 Health Care Coverage Assessment ​Memorandum - ​​7/18​

FY 2025 ​Medicaid Budget Deficit Memorandum​​​ - 7/18​​

Set Aside Funding / Set Aside Template​ - 8/8

Maternal and Child Health Improvement Fund Assessment​ - ​​8/08

FY24 12-months of Experience Data Memo​ - 8/09

FY25 Uncompensated Care Fund Payments Memo​ - 8/15






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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 perfo​rmed 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

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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