# COMAR Title 10 — Maryland Department of Health

## Subtitle 37 — Health Services Cost Review Commission

### Chapter 06 — Submission of Hospital Discharge Data Set to the Commission

**Authority:** Health-General Article, §§19-207, 19-211, 19-212, 19-215, and 19-216, Annotated Code of Maryland

**Administrative History:** Effective date: January 1, 1983 (9:16 Md. R. 1605)

**Administrative History:** Regulation .02J, K repealed and new Regulation .02A, B(10) and (11) adopted effective July 1, 1985 (12:13 Md. R. 1280)

**Administrative History:** Regulations .01—.06 repealed effective January 1, 1986 (12:22 Md. R. 2105)

**Administrative History:** Regulations .01—.06 adopted effective January 1, 1986 (12:22 Md. R. 2105)

**Administrative History:** Regulation .01 repealed and new Regulation .01 adopted effective February 28, 2005 (32:4 Md. R. 411)

**Administrative History:** Regulation .01-1 adopted effective February 7, 2000 (27:2 Md. R. 145)

**Administrative History:** Regulation .02 repealed and new Regulation .02 adopted effective April 1, 1993 (20:5 Md. R. 514)

**Administrative History:** Regulation .02 amended as an emergency provision effective July 1, 1998 (25:15 Md. R. 1183); amended permanently effective October 5, 1998 (25:20 Md. R. 1531)

**Administrative History:** Regulation .02B amended effective September 1, 1986 (13:16 Md. R. 1827); November 3, 1986 (13:22 Md. R. 2400)

**Administrative History:** Regulation .02B amended as an emergency provision effective November 17, 1986 (13:25 Md. R. 2653); emergency status expired March 1, 1987

**Administrative History:** Regulation .02B amended effective March 9, 1987 (14:5 Md. R. 580); August 1, 1994 (21:15 Md. R. 1306); December 4, 1995 (22:24 Md. R. 1894); February 10, 1997 (24:3 Md. R. 187); August 5, 2002 (29:15 Md. R. 1142); July 4, 2005 (32:13 Md. R. 1112); June 4, 2007 (34:11 Md. R. 972)

**Administrative History:** Regulation .02B amended as an emergency provision effective July 1, 2007 (34:17 Md. R. 1506); amended permanently effective October 8, 2007 (34:20 Md. R. 1739)

**Administrative History:** Regulation .03 repealed and new Regulation .03 adopted effective April 1, 1993 (20:5 Md. R. 514)

**Administrative History:** Regulation .03 amended effective August 1, 1994 (21:15 Md. R. 1306); December 4, 1995 (22:24 Md. R. 1894); February 10, 1997 (24:3 Md. R. 187)

**Administrative History:** Regulation .03 amended as an emergency provision effective July 1, 1998 (25:15 Md. R. 1183); amended permanently effective October 5, 1998 (25:20 Md. R. 1531)

**Administrative History:** Regulation .03B, H amended as an emergency provision effective July 1, 2007 (34:17 Md. R. 1506); amended permanently effective October 8, 2007 (34:20 Md. R. 1739)

**Administrative History:** Regulation .03F amended as an emergency provision effective November 17, 1986 (13:25 Md. R. 2653); emergency status expired March 1, 1987

**Administrative History:** Regulation .03F amended effective March 9, 1987 (14:5 Md. R. 580)

**Administrative History:** Regulation .03G amended effective August 5, 2002 (29:15 Md. R. 1142)

**Administrative History:** Regulation .03H amended effective July 4, 2005 (32:13 Md. R. 1112); June 4, 2007 (34:11 Md. R. 972)

**Administrative History:** Regulation .06 amended as an emergency provision effective April 1, 1993 (20:5 Md. R. 514)

**Administrative History:** Chapter revised effective March 9, 2009 (36:5 Md. R. 422)

**Administrative History:** Regulation .01A, B amended as an emergency provision effective January 1, 2014 (40:24 Md. R. 2014); amended permanently effective March 3, 2014 (41:4 Md. R. 301)

#### Regulation .01 Collection and Submission of Data.

*COMAR 10.37.06.01*

A. Beginning on January 1, 2014, each hospital under the jurisdiction of the Health Services Cost Review Commission shall submit to the Commission:

  (1) The data elements required by this chapter within 15 days after the last day of the month when the patient was discharged or died; and

  (2) The reconciliation of inpatient data between the discharge data and the financial data filed with the Commission.

B. Submission Requirements.

  (1) The data elements submitted under §A(1) o this regulation shall be made in the form as published in the Maryland Register and on the Commission’s website (http://hscrc.maryland.gov).

  (2) The reconciliation submitted under §A(2) of this regulation shall be made in the manner, form, and time frame prescribed by Commission staff.

C. A hospital may apply to the Commission for an exception or an extension to its filing requirements as provided in COMAR 10.37.01.02 and .03.

D. Failure to submit the required data and reconciliation information in a timely manner may subject the hospital to monetary penalties as provided in Commission law and regulation.

#### Regulation .01-1 Out-of-State Hospitals.

*COMAR 10.37.06.01-1*

A. The requirements for the collection and submission of data as described in Regulation .01 of this chapter shall also apply to those non-federal acute care hospitals located in Delaware, Pennsylvania, Virginia, West Virginia, and the District of Columbia. Data submitted by these non-Maryland hospitals shall relate exclusively to those patients who are Maryland residents.

B. The Commission may consider these non-Maryland hospitals that otherwise provide discharge data as described in Regulation .04 of this chapter to the public to be exempt from the data requirements referred to in §A of this regulation. In addition, non-Maryland hospitals may apply to the Commission for an exception or an extension to either the form or to the manner of these data requirements as provided for in COMAR 10.37.01.02 and .03.

C. If a non-Maryland hospital fails to submit discharge data on all Maryland patients as required by the Commission, the matter shall be referred by the Commission to Maryland's Medical Assistance Program for appropriate action.

#### Regulation .02 Uniform Hospital Discharge Abstract Data Set.

*COMAR 10.37.06.02*

Data Elements are as published in the Maryland Register and on the Commission's website (http://www.hscrc.state. md.us).

#### Regulation .03 Privacy of Information.

*COMAR 10.37.06.03*

Data submitted in accordance with this chapter are not public information pursuant to Health-General Article, §19-207(d), Annotated Code of Maryland.

#### Regulation .04 Summary Studies, Reports, Compilations.

*COMAR 10.37.06.04*

Summary studies, reports, or other compilations developed by the Commission or its staff from the data submitted in accordance with this chapter shall be public information except that disclosure may not be made in a way that the data furnished by a specific patient can be identified.

#### Regulation .05 Corrections to Data.

*COMAR 10.37.06.05*

The Commission shall prescribe the process for hospitals to submit corrections and revisions to the data on its website.