<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.02.01.06" title_num="10" subtitle_num="02" chapter_num="01" heading="Setting of Charges for Private Providers.">
  <paragraph num="A.">
    <text>A private provider shall submit annually, to the Division, a cost report and proposed recommended Schedule of Charges, pursuant to instructions provided by the Division.</text>
  </paragraph>
  <paragraph num="B.">
    <text>At least annually, the Secretary shall approve a Schedule of Charges recommended for each private provider containing the per service charges for each private provider which remain in effect until changed as provided in this chapter.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Per Service Charge. A charge for each service provided shall be determined for each private provider by:</text>
    <paragraph num="(1)">
      <text>Calculating the actual cost for each type of service provided;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Adjusting the actual cost determined in §C(1) of this regulation for depreciation and inflation, less equipment cost; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Dividing the amount determined in §C(2) of this regulation by the actual units of service provided.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>If a private provider's service charges are established by the Health Services Cost Review Commission (HSCRC), the requirements of §C of this regulation, do not apply.</text>
  </paragraph>
  <paragraph num="E.">
    <text>A private provider's proposed service charges shall be based on the best estimate of costs, according to generally accepted cost accounting practices, including all appropriate indirect costs. Private providers, in support of their proposed Schedule of Charges shall report their estimates pursuant to instructions provided by the Division. When specific service charges are set by statute, the Secretary shall approve these service charges consistent with the statute.</text>
  </paragraph>
  <paragraph num="F.">
    <text>Revisions and modifications to the approved Schedule of Charges to reflect changes in cost estimates or the addition or deletion of services for a private provider shall be made when recommended by the Division and approved by the Secretary.</text>
  </paragraph>
  <paragraph num="G.">
    <text>The approved Schedule of Charges for a private provider, with all revisions and modifications, shall be retained in the Division and also be prominently posted at each location of the private provider where services are provided.</text>
  </paragraph>
</regulation>