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<regulation prefix="Regulation" num=".01" citation="COMAR 10.24.04.01" title_num="10" subtitle_num="24" chapter_num="04" heading="Definitions.">
  <paragraph num="A.">
    <text>“Freestanding ambulatory surgical facilities” means facilities or offices which operate primarily for the purpose of providing surgical services to patients not requiring overnight hospitalization, and which are required to obtain a license under Health-General Article, §19-3B-02(a), Annotated Code of Maryland, including:</text>
    <paragraph num="(1)">
      <text>A center, service, office, facility, or office of one or more health care practitioners or a group practice, as defined in Health Occupations Article, §1-301, Annotated Code of Maryland, that provides ambulatory surgical services in two or more operating rooms, or in one operating room where the providers receive a technical or facility fee;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>An existing ambulatory surgical facility or office of one or more health care practitioners that has received a Certificate of Need or a determination of exemption from Certificate of Need coverage from the Maryland Health Resources Planning Commission;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Medicare-certified ambulatory surgical facilities;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Hospital-affiliated ambulatory surgical facilities that are not subject to the Health Services Cost Review Commission's ambulatory surgery survey set forth in COMAR 10.37.07; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Ambulatory surgical facilities owned by or affiliated with health maintenance organizations.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>“Freestanding ambulatory surgical facilities survey” means any written request for data from the Maryland Health Resources Planning Commission to freestanding ambulatory surgical facilities. This data may include:</text>
    <paragraph num="(1)">
      <text>The name and address of the entity providing ambulatory surgical services, and the location where these services will be provided;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The number of operating rooms at the location;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The names of persons or organizations which have an ownership interest in the entity, and their officers, directors, partners, and owners;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The names of any other ambulatory surgical facilities in which individuals listed in response to §B(3) of this regulation have an interest or other economic relationship, as an officer, director, partner, member, or owner;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>A listing of any other ambulatory surgical facilities at the same address;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Contractual relationships to provide ambulatory surgical services between the entity and other health care facilities or health care providers who are not employees of the entity, or exercise only medical practice privileges at the location;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>The names and specialties of the health care practitioners who provide surgical services at the location and the types of procedures performed there;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Cost, charge, and reimbursement data, including the amount of care reimbursed by Medicaid, Medicare, and other third-party payors, and the amount of uncompensated care provided by the entity;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Utilization data, including types of procedures;</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Operating policies, including hours of operation;</text>
    </paragraph>
    <paragraph num="(11)">
      <text>Patient-specific or patient aggregate data, including demographic data, data on reimbursement source and levels, on types of procedures, and on patient disposition; and</text>
    </paragraph>
    <paragraph num="(12)">
      <text>Staffing requirements and patterns.</text>
    </paragraph>
  </paragraph>
</regulation>