Policy Clarifications and Regulation Updates

Schedule CDS-A Instructions for Outpatient Infusion and Chemo-therapy Drugs - plus - Drug Schedule - November 1

Correction to Instructions for Schedule UR6A - Physicians Part B - October 13

Current Financing 2nd Amended - September 29

MHAC Clinical Changes RY 2018 - September 23

FY 2016 Annual Filing - September 21

Current Financing Guidelines - September 1

FY 2017 Uncompensated Care Fund Payments - August 18

Clarification on FY 2017 Data Submission Requirements for July 2016 data submitted in August 2016
- & - Production Schedules FY17 - August 2

Access to Medicare Data to Support Maryland’s All-Payer Model - plus - Instructions and DUAs - July 25

Transformational Implementation Grant Program Reporting FY 2017 - July 18

RY18 Readmission Reduction Incentive Program Methodology - July 13

FY 2017 Health Care Coverage - Assessment Procedures for Submission - June 16

Medicaid FY 2017 Budget Deficit Assessment - June 16

Hospital Special Audits - June 10

QBR Standards, Scaling, and other Methodology Changes for FY 2018 - Feb. 19

FY 2015 Annual Filing - Feb. 5

RAD Workgroup - Jan. 8

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

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

CRISP HIE Assessment - Submission Procedures - & - Assessment sheet in Excel - Dec. 5
Denials Report Memo and Instructions - & - Denials Report Form - Oct. 30
New Reconciliation Templates - Oct. 2
UCC Write-Offs Report Memo and Instructions - & - UCC Write-Offs Report Form - Sept. 23
Shared Savings Report Memo and Instructions - & - Shared Savings Report Form - Sept. 22
Global Budget Hospital Population and Demographic Adjustment FY 2015 - June 30
Medicaid Budget Deficit Assessments - & - Payments to the Deficit Assessment Fund - June 27
Readmissions Reduction Incentive Program Policies for Rate Year (RY) 2016 - May 9
Guidance Categorizing Residency and Reporting Medicare FFS or HMO as Primary Payer - March 19
Associated Zip Code File for the above memorandum - March 19
2014-03-10-Changes-to-Data-Repository.pdf - March 10

Updated Collection Tool for the Submission of the Admissions Denied for Medical Necessity Report
Rate Order Implementation FY 2014 Rate Orders
Requirement to File a Hospital Community Benefit Report on an Annual Basis
Revisions to the Inpatient and Outpatient Casemix Data Submission Requirements

Revised Treatment of Research Activities in the Maryland Rate System
Monthly Data Filings + *Attachment: Monthly SB-CSS Template*
Resubmission of FY 2012 Admissions Denied for Medical Necessity Report
Inclusion of a Master Patient Identifier to Case Mix Data Submission Requirements for FY2013
Revisions to Data Submission Requirements
Summary of FY 13 State Operating, HSCRC, and Medicaid Budgets
ARR Memo - Base Episodes Sent to Hospitals
ARR Memo - Episode Weights Posted
Pricing of Medical/Surgical Supplies and Drugs

HSCRC-CPV FY 2012 Weights Posted
ARR Memo - Intervention Plans
HSCRC - Reissuing CPV FY 2012 Weights
Revised Rate Center Reconciliation (RCR) Schedule (templates) Memo
ARR Implementation Steps1
Use of Quarter 4 Final Discharge Data for Rate Setting
Schedule DCFA - Debt Collection/Financial Assitance Report
Memo To Replace Schedule IRS
Elimination of the 7-Day Grace Period
Request for Nurse Support Program I State Fiscal Year 2012 Budgets
Feedback on RCR FY11 Q2 FINAL
Refinements to Inpatient and Outpatient Datasets
Feedback on FY11 Quarter 2 Rate Reconciliation Schedules
Rate Order and Public Meeting Packet Distribution
Refinements to Inpatient and Outpatient Datasets
Reconciliation of Case Mix and Financial Data
Treatment of Research Activities in the Maryland Rate System

ROC HSCRC Response
New Federal Security Requirements: Case Mix Data
NSP I Annual Report - Due November 16, 2010
Revised Return Date- Rate Center Reconciliations- Inpatient/Outpatient Case Mix Data Reports
HSCRC Jurisdiction - Laboratory Services
Rate Center Reconciliations of Inpatient and Outpatient Case Mix Data Reports
Rate Center Reconciliations Reports FY10
Resubmission of Inpatient and Outpatient Case Mix Data
Inpatient/Outpatient - New OBV Rate Center digit code for case mix data tapes
Inpatient and Outpatient Quarterly Data Tape Requirements
Observation (OBV) Education Session *** URGENT *** 05-12-10
Admission Denied Medical Necessity Reporting *** URGENT *** 05-07-10
Establishment of Observation (OBV) Rate Center

Reporting Requirements Admissions Denied Medical Necessity
Hospital IRS 990 Submission Requirements
Reimbursement Requirements for MAPs and MCOs
Hospital Patient Information Sheet
QBR Thresholds and Benchmarks for CY2008 Measures
Kennedy Krieger Institute Reporting Requirements

Electronic Availability of Accounting and Budget Manual
Assessments
Revised Health Care Coverage Assessment
Reimbursement by Medicare Advantage Plans Policy
Credit Collection Survey
Monthly Interim Rate Compliance Policy
OR and SDS Statistics Policy

Admission Charge Policy
Government As Secondary Payor #1
Government As Secondary Payor #2

Workers Compensation Claims Policy
HSCRC/ERISA Policy
Jurisdiction of HSCRC

Admission of Less than 24 Hours Policy (2004)
CHAMPUS/TRICARE/SIERRA Policy (2002)
Inpatient Data Submission of New Rehab Data Item Policy (2002)
Observation Services (2001)
Inpatient Services Within 72 Hours of Admission Policy (1998)