<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".08" citation="COMAR 10.14.05.08" title_num="10" subtitle_num="14" chapter_num="05" heading="Allowable Uses of the Funds.">
  <paragraph num="A.">
    <text>A grantee that is funded to conduct cancer research by the Fund may use the grant funds:</text>
    <paragraph num="(1)">
      <text>For basic, clinical, translational, applied, or community-based participatory research;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>To support:</text>
      <paragraph num="(a)">
        <text>The individuals engaged in the research; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The individual's support staff; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>To purchase office supplies.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A grantee that is funded to conduct cancer primary prevention or secondary prevention by the Fund may use the grant funds for:</text>
    <paragraph num="(1)">
      <text>Education;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Outreach;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Policy changes;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Provider interventions;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Clinical services;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Case management;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Quality assurance;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Data collection; or</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Partnership development.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>If a grantee is funded to conduct cancer secondary prevention services, the Fund shall provide to the grantee reimbursement for a clinical service at a rate not higher than the rate that:</text>
    <paragraph num="(1)">
      <text>Medicare pays for the clinical service in the region; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The HSCRC has approved for the clinical service, if the clinical service is provided by a HSCRC-regulated facility.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>If a grantee is funded to conduct cancer secondary prevention or treatment, the grantee shall only provide clinical services to individuals who:</text>
    <paragraph num="(1)">
      <text>Are Maryland residents; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Have an annual family income that is not more than 250 percent of the federal poverty guidelines.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>If a grantee is funded to conduct cancer treatment, a grantee may use the grant funds:</text>
    <paragraph num="(1)">
      <text>For grants awarded before January 1, 2014 to provide MHIP reimbursement, to pay up to a maximum of $15,000 for direct costs per individual per year for the premium, deductible, coinsurance, and copay of the MHIP costs and for services not covered under MHIP; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>To pay up to a specified amount, as determined by the Department, for direct costs per individual per year for the:</text>
      <paragraph num="(a)">
        <text>Deductible and patient contribution amount for the reimbursed medical procedure or service for insured individuals; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Medical procedure or service not covered under their health insurance policy for individuals who meet the eligibility criteria of §D of this regulation; or</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>To pay up to a maximum of $20,000 for direct costs per individual per year for the cancer treatment costs under the individual’s treatment plan:</text>
      <paragraph num="(a)">
        <text>Who meet the eligibility criteria in §D of this regulation; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>At a rate not to exceed the rate that Medical Assistance pays for clinical services or the rate that the HSCRC has approved for the clinical services, if treatment is provided by a HSCRC-regulated facility.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>If a grantee is funded to pay for cancer treatment:</text>
    <paragraph num="(1)">
      <text>Under §E(1) of this regulation, the grantee shall only pay or direct the Department to pay MHIP the following for services directly related to the treatment of cancer for the individual diagnosed with cancer:</text>
      <paragraph num="(a)">
        <text>Premiums;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Deductibles;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Coinsurance; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Copays;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Under §E(2) of this regulation, the grantee shall only pay or direct the Department to pay the deductible and patient contribution amount for the reimbursed medical procedure or service that the individual is required to pay for the services directly related to the diagnosis and treatment of cancer; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>May not pay any amount for the individual’s spouse, children, or other family members’ health insurance costs.</text>
    </paragraph>
  </paragraph>
  <paragraph num="G.">
    <text>For the purpose of §F(1) and (2) of this regulation, the Department shall pay the health insurance costs out of the funds that are set aside for the grantee.</text>
  </paragraph>
  <paragraph num="H.">
    <text>In addition to the direct costs allowed under §E of this regulation, the Fund shall also pay a maximum of 7 percent of the indirect costs to local health department grantees or non-local health department grantees.</text>
  </paragraph>
</regulation>