<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03-1" citation="COMAR 10.67.04.03-1" title_num="10" subtitle_num="67" chapter_num="04" heading="HealthChoice Health Equity Incentive Program.">
  <paragraph num="A.">
    <text>The Department shall award a defined amount of funding annually to MCOs based on the county of residence of their members and the socioeconomic disadvantage index described in this regulation.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Socioeconomic Disadvantage Index.</text>
    <paragraph num="(1)">
      <text>The Department shall calculate a ranking for each service area in Maryland in accordance with the following domains:</text>
      <paragraph num="(a)">
        <text>Community safety;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Food security;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Housing security; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Transportation access.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The Department shall select component measures and calculate rankings that aggregate to the domains defined in §B of this regulation.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Rankings shall range from first to twenty-fourth, with first being the lowest ranking for socioeconomic disadvantage and twenty-fourth being the highest ranking for socioeconomic disadvantage.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Each service area shall be assigned a single summary score by calculating the equal-weighted average across each service area’s domain rankings.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>The Department shall award available equity funding to MCOs serving members in Maryland service areas based on the following criteria:</text>
    <paragraph num="(1)">
      <text>Allocation of equity funding shall be made proportionally to the MCO’s membership in the service areas at the top quartile of the socioeconomic disadvantage index.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Funding for each calendar year shall be determined based on available funding in the Department’s budget and specified in the annual HealthChoice Managed Care Organization Agreement.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The annual allocation for HealthChoice Health Equity Incentive Program shall be funded outside of managed care capitation rates.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Incentive funds awarded under the HealthChoice Health Equity Incentive Program are not appealable under 10.67.10.</text>
  </paragraph>
</regulation>