Reporting Electronic Health Care Transactions

Background

Maryland law (Chapter 791 and Chapter 790, Public Health – State Designated Exchange – Clinical Information, 2021) requires electronic health networks (EHNs) to provide electronic health care transactions to the State-Designated Health Information Exchange (CRISP) for certain purposes. More recently, legislation passed in 2025 (Chapter 615) clarifies that transaction information may also be used to support Maryland’s participation in the AHEAD Model, administered by the Centers for Medicare & Medicaid Services.

The law requires CRISP to develop policies and procedures to support implementation, consistent with regulations adopted by the Maryland Health Care Commission (MHCC). Final regulations, COMAR 10.25.07, Certification of Electronic Health Networks and Medical Care Electronic Claims Clearinghouses became effective on November 10, 2025.

CRISP – EHN Data Submission Agreement

The Draft CRISP – EHN Data Submission Agreement is now available for review by clicking here, or in the documents below. Should you have any questions or concerns regarding the document after reviewing, please reach out to Meg LaMar (Megan.Lamar@crisphealth.org).

Technical Submission Guidance

CRISP convened stakeholders, including EHNs to inform the development of Electronic Health Care Transactions Technical Submission Guidance to support implementation of the law. The technical submission guidance details requirements for submitting electronic health care transaction information to CRISP.

We thank everyone who submitted comments. Those insights were crucial in helping us refine the guidance to ensure it is clear and comprehensive for MHCC-certified electronic health networks (EHNs) as they prepare to send electronic health care transaction information to CRISP. We have addressed the comments have an updated near final draft for review.

CRISP welcomes feedback on the near final draft guidance by February 27, 2026. Please send any final feedback to MDCommunications@crisphealth.org, and add to the subject line, “Final Feedback: EHN Technical Submission Guidance.” You may provide feedback using one of the following:

1. Download the clean, revised Word document and add suggested edits and comments directly in the document.
2. Provide feedback in the email.

Your timely feedback is essential to ensure we have adequate time to consider all comments. Submitters may provide feedback on any portion of the technical guidance including Appendix A, the Flat File Data Submission layout. We are aiming to have the Technical Submission Guidance finalized March and will let everyone know once it is available.

Applicable Transactions

COMAR 10.25.07 requires MHCC-certified EHNs to submit electronic health care transaction information for services delivered in Maryland. The guidance and documentation below are specific to the submission of information from 837P and 837I transactions.