Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.22 - Free-Standing Dialysis Facility Services
Section 10.09.22.04 - Covered Services
Universal Citation: MD Code Reg 10.09.22.04
Current through Register Vol. 51, No. 19, September 20, 2024
A. The Program covers medically necessary services described in §B of this regulation, rendered to participants in a freestanding dialysis facility, when these services are:
(1) Performed by a
physician or by one of the following:
(a) A
physician assistant;
(b) A nurse
practitioner;
(c) An RN;
(d) An LPN;
(e) A social worker; or
(f) A dietitian-nutritionist;
(2) Provided by a non-physician
listed in §A(1) of this regulation, when the followingconditions are met:
(a) The individual performing the service is
in the employ of, or under contract with, the free-standing dialysis facility;
(b) The individual performing the
service is under a physician's direct supervision or written
direction;
(c) The individual
performs the service within the scope of the individual's license or
certification for the purpose of assisting in the provision of the physician's
services; and
(d) The services are
provided according to the free-standing dialysis facility physician's written
plan of care;
(3)
Curative or rehabilitative services, when clearly related to the participant's
individual needs;
(4) Adequately
described in the participant's medical record and consistent with the
physician's written plan of care.
B. Covered services include:
(1) Dialysis services furnished on an
outpatient basis and provided by a free-standing dialysis facility, to include
hemodialysis, peritoneal dialysis, CAPD, CCPD, and home dialysis training;
and
(2) Laboratory tests, supplies,
and prescription drugs as related to dialysis services.
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