Current through Register Vol. 51, No. 19, September 20, 2024
The Program covers the following medically necessary
services:
A. Podiatric services
rendered in the podiatrist's office, the participant's home, a hospital, a
nursing facility, a free standing clinic, or elsewhere, when these services
are:
(1) Performed by the podiatrist or another licensed
podiatrist in the podiatrist's employ;
(2) Performed on the:
(a) Human foot or ankle;
(b) Anatomical structures that attach to the
human foot; or
(c) Soft tissue
below the midcalf
(3)
Clearly related to the participant's individual medical needs as diagnostic,
curative, palliative, or rehabilitative services; and
(4) Adequately described on the participant's
medical record.
B.
Routine podiatric care rendered in an office, home, nursing home, or licensed
assisted living facility for participants who have a metabolic, neurologic, or
vascular disease affecting the lower extremities, including but not limited to:
(1) Arteriosclerosis obliterans (A.S.O.,
arteriosclerosis of the extremities, occlusive peripheral
arteriosclerosis);
(2) Buerger's
disease (thromboangiitis obliterans);
(3) Peripheral neuropathies involving the
feet, associated with:
(a) Traumatic
injury;
(b) Leprosy or
neurosyphilis; or
(c) Hereditary
disorders, such as hereditary sensory radicular neuropathy, angiokeratoma
corporis diffusum (Fabry's) and amyloid neuropathy; and
(4) The following conditions, if the patient
is under the active care of a doctor of medicine or osteopathy who documents
the condition:
(a) Diabetes
mellitus;
(b) Chronic
thrombophlebitis;
(c) Peripheral
neuropathies involving the feet, associated with:
(i) Malnutrition and vitamin deficiency such
as malnutrition (general and pellagra), alcoholism, malabsorption (celiac
disease and tropical sprue), and pernicious anemia;
(ii) Carcinoma;
(iii) Diabetes mellitus;
(iv) Drugs and toxins;
(v) Multiple sclerosis; or
(vi) Uremia (chronic renal
disease).
C. Drugs dispensed by the podiatrist in an
emergency or drugs which cannot be self-administered within the limitations of
COMAR 10.09.03;
D. Injectable drugs
administered by the podiatrist within the limitations of COMAR
10.09.03;
E. Medical equipment and
supplies prescribed by the podiatrist within the limitations of COMAR 10.09.12;
and
F. Emergency services and
related follow-up care.
