Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.12 - Disposable Medical Supplies and Durable Medical Equipment
Section 10.09.12.05 - Limitations
Current through Register Vol. 51, No. 19, September 20, 2024
The Program does not cover:
A. Incontinency pants and disposable underpads unless the following conditions are met:
B. Osteogenesis stimulators unless the following criteria are met:
C. Osteogenesis stimulators beyond the first 6 weeks of use unless evaluations at the 6-week and 3-month intervals after initial date of service verify recipient use of at least 50 percent of the time prescribed, on a form designated by the Program;
D. The following durable medical equipment:
E. Disposable medical supplies and durable medical equipment provided in a facility or by a group when reimbursement is covered by another segment of the Program;
F. Items which are investigational or experimental in nature;
G. Nutritional supplements supplied by a DMS/DME provider under this chapter if the provider is also a licensed pharmacy and has a Medicaid Pharmacy provider number;
H. Food supplements or infant formulas, including enteral nutritional products and supplemental vitamin and mineral products, when administered orally;
I. Purchase of used equipment, except as approved by the Department as per Regulation .07L of this chapter;
J. Equipment if the recipient owns or otherwise has access to useable equipment that serves the same purpose as the requested equipment;
K. Replacement of equipment while the item is still under warranty or before having met the Department's life expectancy schedule unless prepayment authorization has been obtained;
L. Rental of any equipment not in good working condition for the entire length of rental;
M. Rental of equipment for any period longer than 90 days without renewed documentation of continued medical need from the prescriber for each 90-day period;
N. Modifications to motor vehicles ;
O. Disposable medical supplies and durable medical equipment ordered by an individual who is not enrolled as a provider in the Program on the date of service; and
P. Disposable medical supplies and durable medical equipment ordered by an entity, facility, or other provider that is not an individual.