<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".08" citation="COMAR 10.09.57.08" title_num="10" subtitle_num="09" chapter_num="57" heading="Record Keeping and Reports.">
  <paragraph num="A.">
    <text>The PCP shall have an effective procedure for reporting to the Department the following information:</text>
    <paragraph num="(1)">
      <text>The cost of operations;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Patterns of utilization;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The health status of enrollees;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Information demonstrating that the PCP has a fiscally sound operation; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Complaints and grievances made by enrollees.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The PCP shall collect and submit to the Department service specific encounter data by service type in the format and at the frequency designated by the Department.</text>
  </paragraph>
  <paragraph num="C.">
    <text>The PCP shall maintain adequate records to document that the services were delivered.</text>
  </paragraph>
  <paragraph num="D.">
    <text>The PCP shall prepare and submit to the Department quarterly financial and quality assurance reports as specified by the Department.</text>
  </paragraph>
</regulation>