Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.09 - Medical Laboratories
Section 10.09.09.04 - Covered Services
Universal Citation: MD Code Reg 10.09.09.04
Current through Register Vol. 51, No. 19, September 20, 2024
The Program covers the following services:
A. Medically necessary laboratory services, when the services are:
(1) Rendered to
participants in a physician's office, hospital, freestanding clinic, or medical
laboratory;
(2) Provided according
to the laws and regulations of the state and locality in which they are
rendered;
(3) Rendered pursuant to
a properly completed order or standing order;
(4) Adequately documented in the provider's
files;
(5) Clinical and diagnostic
services for which certification by the Centers for Medicare and Medicaid
Services (CMS) under CLIA exists, if required; and
(6) Ordered by an individual who is enrolled
as a provider in the Program with an active status on the date of
service;
B. Transportation of specimens by medical laboratories when special handling is required by medical necessity when documentation is supplied to the provider by the authorized ordering practitioner; and
C. Collection of specimens by venipuncture, capillary puncture, or arterial puncture.
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