Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.14 - Vision Care Services
Section 10.09.14.06 - Preauthorization Requirements
Current through Register Vol. 51, No. 19, September 20, 2024
A. The following services require written preauthorization:
B. Preauthorization is issued when:
C. Preauthorization is valid only for services rendered or initiated within 60 days of the date issued.
D. Preauthorization normally required by the Program is waived when the service is covered and approved by Medicare. However, if the entire or any part of a claim is rejected by Medicare, and the claim is referred to the Program for payment, payment will be made for services covered by the Program only if authorization for those services has been obtained before billing. Non-Medicare claims require preauthorization according to §§A-C of this regulation.