MHCC   Request for Public Comment  

Request for Comments

Date Posted: June 14, 2018

Petition for Amendment of COMAR 10.24.07 State Health Plan for Facilities and Services: Psychiatric Services

The University of Maryland Medical Center (UMMC) has requested that the Maryland Health Care Commission (MHCC) amend Standard AP 4a of COMAR 10.24.07, the State Health Plan (SHP) regulations used in reviewing general and special hospital projects involving facilities for the provision of acute psychiatric hospital services. UMMC’s petition for amendment can be accessed here:

Standard AP 4a states:

“A Certificate of Need for child, adolescent or adult acute psychiatric beds shall be issued separately for each age category. Conversion of psychiatric beds from one of these services to another shall require a separate Certificate of Need.”

UMMC proposes amendment of this standard so that hospitals with an existing child psychiatric program could add an adolescent psychiatric program without the requirement of obtaining a Certificate of Need. It proposes an amended Standard AP 4a as follows:

“A Certificate of Need for child, adolescent or adult acute psychiatric beds shall be issued separately for each age category. Conversion of psychiatric beds from one of these services to another shall require a separate Certificate of Need. However, a hospital with existing child psychiatric beds may add an adolescent service without a Certificate of Need.”

MHCC is soliciting comments on this proposed amendment of the State Health Plan. The SHP defines a “child” as an individual aged 0-12 and an “adolescent” as an individual aged 13-17. The following hospitals operate acute psychiatric programs for the hospitalization of children and/or adolescents:

Adventist HealthCare Behavioral Health and Wellness       Children and adolescents

Brook Lane                                                                           Children and adolescents

CalvertHealth Medical Center                                               Adolescents

Carroll Hospital                                                                     Adolescents

MedStar Franklin Square Medical Center                             Adolescents

MedStar Montgomery Medical Center                                  Adolescents

MedStar St. Mary’s Hospital                                                 Adolescents

Sheppard and Enoch Pratt Hospital                                     Children and adolescents

Sheppard Pratt at Ellicott City                                               Adolescents

Suburban Hospital                                                                Adolescents

The Johns Hopkins Hospital                                                 Children and adolescents

University of Maryland Medical Center                                 Children        

 

Please submit comments in writing to Paul Parker, Director, Health Care Facilities Planning and Development, MHCC, 4160 Patterson Avenue, Baltimore, MD 21215 or paul.parker@maryland.gov

Comments are due NO LATER THAN Friday, July 6, 2018 at 4:30 pm.  

 

Request for Comments

Date Posted:  June 8, 2018

Proposed Permanent Regulation: COMAR 10.25.18 Health Information Exchanges: Privacy and Security of Protected Health Information

The Maryland Health Care Commission proposes to amend Regulations .01—.04 and .10—.12 under COMAR 10.25.18 Health Information Exchanges: Privacy and Security of Protected Health Information. The Notice of Proposed Action was published in the Maryland Register Volume 45, Issue 12, pages 632-634, June 8, 2018. 

Comments may be sent to Angela Evatt, Chief, Health Information Exchange, Center for Health Information Technology, Maryland Health Care Commission, 4160 Patterson Avenue, Baltimore, MD 21215, or call 410-764-3574, or email to angela.evatt@maryland.gov, or fax to 410-358-1236. Comments will be accepted through July 9, 2018, at 4:30 p.m. 

Request for Comments

Date Posted: June 6, 2018

DRAFT CHAPTER COMAR 10.24.20 State Health Plan for Facilities and Services: Comprehensive Care Facilities

The Commission is soliciting comments on a draft update of our State Health Plan regulations for comprehensive care facilities, or nursing homes.  This is an update to COMAR 10.24.08 and, when finally established as regulations, will be COMAR 10.24.20.  We are asking for “informal” comment at this time which will be used to develop draft proposed regulations for consideration by the Commission.  When proposed regulations are approved by the Commission, there will be a “formal” comment period upon publication in the Maryland Register.

Among the key changes in this draft update are:  (1) Docketing rules that, based on the applicant’s history of compliance with state and federal law and requirements, can disqualify potential  applicants; (2) Exceptions to the bed need standard permitting the Commission to consider projects in areas without bed need, but with a limited choice of quality providers, and to consider projects in areas without bed need that are intended to reduce the costs of care through collaborative efforts with hospitals;  (3) An updated bed need forecasting methodology.

Please submit comments in writing to Linda Cole, Chief, Long Term Care Policy and Planning, MHCC, 4160 Patterson Avenue, Baltimore, MD 21215 or linda.cole@maryland.gov

Comments are due NO LATER THAN July 9, 2018 at 4:30 pm.


 

Modernization of the Maryland Certificate of Need Program

      On June 25, 2017, Maryland’s Senate Finance Committee and House of Delegates Health and Government Operations Committee (Committees) requested that the Maryland Health Care Commission develop recommendations on modernizing Maryland’s health facility planning and CON programs as Maryland continued to implement hospital global budgets under the All-Payer Model  and planned for the migration to the Total Cost of Care Demonstration in 2019.  

      The MHCC formed a Task Force in 2017 to identify specific issues with the MHCC's approach to State Health Plan development and Certificate of Need review.  The Task Force was co-chaired by Commissioner Randolph Sergent and former Commissioner Frances Phillips. Commissioners Haffey, Metz, and O'Grady also served on the Task Force.  The Task Force conducted a systematic review of health planning and CON processes that apply to hospitals, nursing homes, home health, hospice, inpatient substance treatment, and residential treatment centers. The Task Force developed a draft Interim Report that was presented and adopted at the May MHCC meeting.   The Interim Report has been submitted to the Committees in compliance with the request. 

      The MHCC welcomes comments on the Interim Report and your suggestions on how the issues identified in the Interim Report might be resolved.  Your input will be carefully considered in the next phase of Work Group meeting that will begin in late June. The focus of those meetings will be on developing recommendations that modernize State Health Plan development and CON review and better align these functions with requirements in the new Total Cost of Care Model agreement that Governor Hogan announced in May.

      The MHCC requests that you submit your comments to Ms. Ruby Potter by June 22, 2018. The complete record of the CON Modernization Task Forces is available here.
 

•     Cover Letter
•   Volume I: Interim Report
•     Volume II:  Appendices

 

Request for Comments

Proposed Permanent Regulation 10.24.17 State Health Plan for Facilities and Services: Specialized Health Care Services — Cardiac Surgery and Percutaneous Coronary Intervention Services

The Maryland Health Care Commission proposes to repeal existing Regulation .01 and adopt new Regulation .01 under COMAR 10.24.17 State Health Plan for Facilities and Services: Specialized Health Care Services — Cardiac Surgery and Percutaneous Coronary Intervention Services. This action was considered by the Commission at an open meeting held on April 19, 2018, notice of which was given through publication in the Maryland Register, in accordance with General Provisions Article, §3-302(c), Annotated Code of Maryland. 

Comments may be sent to Eileen Fleck, Chief, Acute Care Policy and Planning, Maryland Health Care Commission, 4160 Patterson Avenue, Baltimore, Maryland 21215, or call 410-764-3287, or email to eileen.fleck@maryland.gov, or fax to 410-358-1236. Comments will be accepted through 4:30 p.m. on June 25, 2018. A public hearing has not been scheduled.


Last Updated: 6/20/2018