<?xml version='1.0' encoding='utf-8'?>
<chapter num="03" heading="Maryland Long-Term Care Survey" title_num="10" subtitle_num="24">
  <regulation prefix="Regulation" num=".01" heading="Definitions.">
    <paragraph num="A.">
      <text>In this chapter, the following terms have the meanings indicated.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Terms Defined.</text>
      <paragraph num="(1)">
        <text>“Long-term care providers” means providers of institutional and  community-based, long-term care services, including those providers identified in COMAR 10.24.08.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>“Maryland Long-Term Care Survey” means any written request for data from the Maryland Health Care Commission to long-term care providers. This data may include:</text>
        <paragraph num="(a)">
          <text>Types of services offered;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Operating policies and limits on operations;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Revenue data;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Cost data;</text>
        </paragraph>
        <paragraph num="(e)">
          <text>Changes in licensed capacity;</text>
        </paragraph>
        <paragraph num="(f)">
          <text>Utilization data;</text>
        </paragraph>
        <paragraph num="(g)">
          <text>Patient/client-specific data including:</text>
          <paragraph num="(i)">
            <text>Demographic data;</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Admission and discharge data;</text>
          </paragraph>
          <paragraph num="(iii)">
            <text>Reimbursement data; and</text>
          </paragraph>
          <paragraph num="(iv)">
            <text>Diagnostic and functional data.</text>
          </paragraph>
        </paragraph>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="Collection and Submission of Data.">
    <paragraph num="A.">
      <text>Long-term care providers, on a periodic basis as requested, shall submit accurate, timely, and complete data required by the Commission for:</text>
      <paragraph num="(1)">
        <text>The development of methodologies and planning; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Maintenance of the nursing home performance evaluation guide.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>The Commission shall:</text>
      <paragraph num="(1)">
        <text>Annually survey providers of comprehensive care, extended care, chronic hospital care, and assisted living; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Prepare a schedule for surveying other long-term care providers.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>Providers shall retain a listing of all patient/client codes, as applicable, and a copy of the survey for 5 years to permit the Commission to follow up on unclear responses.</text>
    </paragraph>
    <paragraph num="D.">
      <text>Long-term care providers shall prepare and submit to the Commission within 60 days of receipt of the survey instrument, data responses to the Maryland Long-Term Care Survey. Failure to submit these responses in a timely fashion may subject the provider to penalties as described in COMAR 10.25.12.</text>
    </paragraph>
    <paragraph num="E.">
      <text>A survey required under this regulation does not replace any existing data requirements of the Department or any agencies or commissions of the State.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Extensions.">
    <paragraph num="A.">
      <text>A long-term care provider may request an extension of its submission date, by letter, to the Executive Director of the Commission, if the request:</text>
      <paragraph num="(1)">
        <text>Is submitted not later than 15 days before the submission is due;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Explains the reason for the extension; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Provides a requested due date.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>The Executive Director shall send a response to the request for an extension to a long-term care provider within 10 days of receipt of the request by the Commission.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".04" heading="Summary Studies, Reports, and Compilations.">
    <text>Summary studies, reports, or other compilations developed by the Commission or the Commission's staff, from the data submitted in accordance with this chapter, is public information, except that disclosure may not be made in such a way that the data furnished for a specific patient/client can be identified.</text>
  </regulation>
  <annotations>
    <annotation type="Authority">Health-General Article, §§19-109(a)(1) and (7) and 19-116(b)(1) and (2), Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date:</annotation>
    <annotation type="History" subtype="Administrative History">Chapter 03 “Statewide Nursing Home Survey for 1981” effective May 10, 1982 (9:9 Md. R. 905); repealed effective March 11, 1985 (12:5 Md. R. 483)</annotation>
    <annotation type="History" subtype="Administrative History">Chapter 03 "1984 Maryland Long Term Care Survey" adopted effective March 11, 1985 (12:5 Md. R. 483)</annotation>
    <annotation type="History" subtype="Administrative History">Chapter revised effective February 9, 1987 (14:3 Md. R. 273)</annotation>
    <annotation type="History" subtype="Administrative History">Regulations .01B and .02B, C amended and Regulations .03 and .04 adopted as an emergency provision effective March 1, 1993 (20:6 Md. R. 578); emergency status expired June 28, 1993</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .01B amended effective July 5, 1993 (20:13 Md. R. 1049); August 16, 2004 (31:16 Md. R. 1255)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .02 amended effective August 16, 2004 (31:16 Md. R. 1255)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .02B, C amended effective July 5, 1993 (20:13 Md. R. 1049)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .02D amended effective December 23, 2002 (29:25 Md. R. 1982)</annotation>
    <annotation type="History" subtype="Administrative History">Regulations .03 and .04 adopted effective July 5, 1993 (20:13 Md. R. 1049)</annotation>
  </annotations>
</chapter>