Request for Public Comment

Draft non-substantive updates to the Noncontrolled Prescription Drug Dispenser Data Submission Manual  

In collaboration with stakeholders, MHCC considered updates to the Noncontrolled Prescription Drug Dispenser Data Submission Manual (dispenser manual). Draft updates are non-substantive and clarify certain processes for reporting noncontrolled prescription drug (non-CDS) dispense information to the State-Designated Health Information Exchange (CRISP). Notice of the proposed updates to the dispenser manual was printed in the Maryland Register on April 17, 2026; Volume 53, Issue 8.

The MHCC is soliciting public comments on proposed updates to the dispenser manual.  Please submit any questions and comments to mhcc.noncds@maryland.gov.  For more information, visit MHCC's dedicated non-CDS webpage. 

Comments Due:  May 7, 2026 

COMAR 10.25.03 User Fee Assessment of Payers, Hospitals, and Nursing Homes  

Comments Due: May 4, 2026

The Maryland Health Care Commission proposes to amend Regulation .02 under COMAR 10.25.03 User Fee Assessment on Payers, Hospitals and Nursing Homes.  Notice of Proposed Action was printed in the Maryland Register on April 1, Volume 53, Issue 7. 

Comments may be sent to Alexandra Bryden, Chief of Staff, Maryland Health Care Commission, 4160 Patterson Avenue, Baltimore, MD 21215, or call 410-952-1045, or email to alexandra.bryden@maryland.gov. Comments will be accepted through May 4, 2026.

COMAR 10.25.06 Maryland Medical Care Data Base and Data Collection

Comments Due: April 30, 2026

The Maryland Health Care Commission (MHCC) is releasing COMAR 10.25.06 for informal comment. MHCC currently collects data on paid commercial claims from Maryland payors for inclusion in the Medical Care Data Base (MCDB), Maryland’s All-Payer Claims Database (APCD). Although nearly half of states with similar databases currently collect information about denied claims, MHCC does not. The Maryland Health Care Commission (MHCC) is in ongoing discussions with the Maryland Insurance Administration (MIA), the Health Services Cost Review Commission (HSCRC), the Maryland Department of Health (MDH), the Prescription Drug Affordability Board (PDAB), and the Health Education and Advocacy Unit (HEAU) about the value that data on denied claims would add to a variety of public health initiatives. While Maryland collects some information on insurance denials, the State lacks individual service-level information regarding denials. The current data that the state receives on prior authorization is typically organized into broad service categories, such as “Durable Medical Equipment,” but not the level of specificity to comprehensively identify individual denied services, such as “Continuous Glucose Monitors.” Collecting denied claims will provide insights into payors operating in the state, utilization management procedures and identify patterns in health services that are routinely denied. MHCC is collaborating with other states regarding the collection of denied claims in their APCDs. Eleven of the twenty-five APCD states are currently collecting denied claims.

The draft regulations require payors to begin reporting denied claims in 2027 

Comments may be sent to Kenneth Yeates-Trotman, Director, Analysis and Information Systems, Maryland Health Care Commission, 4160 Patterson Avenue, Baltimore, MD 21215, or emailed to mhcc_regs.comment@maryland.gov.