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.
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.
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
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.Read more
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.
The Maryland Health Care Commission proposes to amend Regulation .07 under COMAR 10.25.10 Maryland Trauma Physician Services Fund. Notice of Proposed Action was printed in the Maryland Register on March 20, 2026, Volume 53, Issue 6.
Comments may be sent to Alexandra Bryden, Chief of Staff, Maryland Health Care Commission, 4160 Patterson Avenue Baltimore, MD 21215
The RFI seeks information on digital platforms that support social risk screening and data collection and enable referral coordination and billing between providers, community-based organizations (CBOs), and payers. Responses will be used to support market research, understand current technological capabilities, and shape future policies in the State that advance the integration of social needs screening and closed-loop referral platforms with the State-Designated Health Information Exchange (CRISP). The RFI is an enterable PDF; responses can be entered directly into the PDF or provided as a separate attachment. CBOs, providers, payers, technology vendors, and consumer representatives are encouraged to respond to some or all questions in the RFI.
On February 9, 2026, the Commission posted applications for the acquisition of 18 Maryland nursing homes currently owned by CommuniCare. The Commission is soliciting public comment on these acquisitions for the next 30 days. Please send all comments via email using the email address:
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.
Read moreIn 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.
Read lessFor Questions Contact:
COMAR 10.25.03 User Fee Assessment of Payers, Hospitals, and Nursing Homes
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
For Questions Contact:
Proposed Permanent Regulations COMAR 10.25.06 to Collect Uncovered Services (Denials)
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.Read more
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.
Read lessFor Questions Contact:
COMAR 10.25.10 Maryland Trauma Physician Services Fund
The Maryland Health Care Commission proposes to amend Regulation .07 under COMAR 10.25.10 Maryland Trauma Physician Services Fund. Notice of Proposed Action was printed in the Maryland Register on March 20, 2026, Volume 53, Issue 6.
Comments may be sent to Alexandra Bryden, Chief of Staff, Maryland Health Care Commission,
4160 Patterson Avenue
Baltimore, MD 21215
For Questions Contact:
Advancing the Integration of Social Needs Screening and Closed-Loop Referral Systems through the State-Designated Health Information Exchange, CRISP
The RFI seeks information on digital platforms that support social risk screening and data collection and enable referral coordination and billing between providers, community-based organizations (CBOs), and payers. Responses will be used to support market research, understand current technological capabilities, and shape future policies in the State that advance the integration of social needs screening and closed-loop referral platforms with the State-Designated Health Information Exchange (CRISP). The RFI is an enterable PDF; responses can be entered directly into the PDF or provided as a separate attachment. CBOs, providers, payers, technology vendors, and consumer representatives are encouraged to respond to some or all questions in the RFI.
For Questions Contact:
CommuniCare 18 Nursing Homes Acquisitions
On February 9, 2026, the Commission posted applications for the acquisition of 18 Maryland nursing homes currently owned by CommuniCare. The Commission is soliciting public comment on these acquisitions for the next 30 days. Please send all comments via email using the email address:
Maryland Health Care Commission
For Questions Contact:
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