<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.45.05.03" title_num="10" subtitle_num="45" chapter_num="05" heading="Qualification under Health-General Article, §19-2101(c)(2), Annotated Code of Maryland — Access Services.">
  <paragraph num="A.">
    <text>To qualify as a community health resource pursuant to this regulation and Health-General Article, §19-2101(c)(2), 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>Offers access services that:</text>
      <paragraph num="(a)">
        <text>Directly assist low-income, uninsured, or underinsured individuals to gain access to reduced-price clinical health care services; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>May include, but are not limited to:</text>
        <paragraph num="(i)">
          <text>Coordination of patients' health care;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Case management services; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Transportation of patients to and from medical appointments; and</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Offers access services, as described in §A(2) of this regulation:</text>
      <paragraph num="(a)">
        <text>Without regard to an individual's ability to pay;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>In accordance with a sliding scale fee schedule that is consistent with the guidelines set forth in Regulation .05 of this chapter; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Primarily to Maryland residents from service sites located within the State.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Nonqualifying Services.</text>
    <paragraph num="(1)">
      <text>Services not directly assisting patients to access clinical health care services are not access services and do not establish a person's qualification as a community health resource pursuant to this regulation and Health-General Article, §19-2101(c)(2), Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Examples of services that do not qualify as access services include, but are not limited to:</text>
      <paragraph num="(a)">
        <text>Transportation to health fairs or wellness lectures;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Mass mailings of health educational materials; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Promotional activities sponsored by health care providers.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>To demonstrate qualification as a provider of access services, 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 its:</text>
      <paragraph num="(a)">
        <text>Sliding scale fee schedule; and</text>
      </paragraph>
      <paragraph num="(b)">
        <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; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Upon the Commission's request, any additional information the Commission requires to complete its determination.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>The Commission shall determine that a person does not qualify as a community health resource under this regulation if:</text>
    <paragraph num="(1)">
      <text>Except when the Commission requests additional information or materials pursuant to COMAR 10.45.08.01G, the person does not submit to the Commission, on or before the date and time specified by the Commission, the documentation required by §C 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>