<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.25.16.03" title_num="10" subtitle_num="25" chapter_num="16" heading="Program Description.">
  <paragraph num="A.">
    <text>An EHR adoption incentive shall be available to a primary care practice that meets the requirements set forth in Regulation .04 of this chapter.</text>
  </paragraph>
  <paragraph num="B.">
    <text>A payor may exclude from a primary care practice’s EHR adoption incentive calculation the payor’s patient members who were previously included in another primary care practice’s EHR adoption incentive calculation.</text>
  </paragraph>
  <paragraph num="C.">
    <text>A payor may, upon notification to a primary care practice:</text>
    <paragraph num="(1)">
      <text>Request additional information from a primary care practice to validate the primary care practice’s EHR adoption incentive request; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Reduce a remaining EHR adoption incentive to a primary care practice if the payor determines that a duplicate payment or an overpayment has been made under this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>The MHCC may conduct audits to determine compliance with this chapter as follows:</text>
    <paragraph num="(1)">
      <text>A payor shall cooperate with the MHCC’s audit process and file information required by the MHCC in a timely manner;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A primary care practice shall cooperate with the MHCC’s audit process and report requested information in a timely manner; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>If an audit reveals noncompliance with this chapter, the MHCC may require corrective action.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>This chapter shall also apply to an entity that self-insures its health benefit plans, if federal law is amended to allow state regulation of such EHR payments.</text>
  </paragraph>
</regulation>