<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".02" citation="COMAR 10.45.05.02" title_num="10" subtitle_num="45" chapter_num="05" heading="Qualification under Health-General Article, §19-2101(c)(1), Annotated Code of Maryland — Primary Health Care Services.">
  <paragraph num="A.">
    <text>Criteria. To qualify as a community health resource pursuant to this regulation and Health-General Article, §19-2101(c)(1), Annotated Code of Maryland, a person shall demonstrate that the person:</text>
    <paragraph num="(1)">
      <text>Is a nonprofit or for-profit health care center or program;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Provides primary health care services:</text>
      <paragraph num="(a)">
        <text>In accordance with a sliding scale fee schedule payment policy that is consistent with the guidelines set forth in Regulation .05 of this chapter;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Without regard to an individual's ability to pay; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Primarily to Maryland residents from service sites located within the State; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Provides medical care to address a patient's general health needs, including:</text>
      <paragraph num="(a)">
        <text>Promotion and maintenance of the patient's health;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Treatment of illness;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Prevention of disease;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Maintenance of the patient's health records; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Making referrals for medically necessary and appropriate specialty care services.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Submission Requirements. To demonstrate qualification as a community health resource under this regulation, a person shall submit, on or before the date and time specified by the Commission, the information and documentation that the person meets the criteria set forth in §A of this regulation, including:</text>
    <paragraph num="(1)">
      <text>A written statement that includes the applicant's name, the addresses of all its service locations, and a description of how the applicant meets the requirements of §A of this regulation;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A copy of the applicant's written procedures for consistent application of the applicant's policies concerning:</text>
      <paragraph num="(a)">
        <text>Uncompensated care;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Its sliding scale fee schedule, consistent with the requirements of Regulation .05 of this chapter; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Provision of services regardless of a patient's ability to pay;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>A list of services offered by the applicant;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>A calculation of the proportion of patients served by the applicant who are Maryland residents;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>An explanation of how the services offered by the applicant are provided, specifying practitioners' licensure categories, such as physician, nurse-practitioner, or other; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Upon the Commission's request, any additional information the Commission requires to complete its determination.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>The Commission shall determine that a person does not qualify as a community health resource pursuant to this regulation if:</text>
    <paragraph num="(1)">
      <text>Unless COMAR 10.45.08.01G applies, the person does not submit to the Commission, on or before the date and time specified by the Commission, the documentation required by §B of this regulation;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The Commission requests additional information or materials pursuant to COMAR 10.45.08.01G, and:</text>
      <paragraph num="(a)">
        <text>The person does not submit the information or materials requested by the Commission within the time allowed; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The additional information and material submitted by the person do not establish the person's qualification as a community health resource; or</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>The Commission determines that the person does not meet the qualification criteria specified in §A of this regulation.</text>
    </paragraph>
  </paragraph>
</regulation>