Current through Register Vol. 51, No. 19, September 20, 2024
A.
EPSDT screening and treatment providers shall meet all of the licensure and
certification requirements specified in this or any other applicable chapter of
COMAR, statute, or policy for the service that the provider renders.
B. In order for the Program to consider a
health care practitioner for certification by the Healthy Kids Program as an
EPSDT screening provider, the practitioner shall have a demonstrated history of
providing services to children younger than 21 years old and shall also:
(1) Be a doctor of medicine or osteopathy who
is:
(a) Licensed in good standing and legally
authorized to practice medicine and surgery in the jurisdiction in which the
service is provided; and
(b)
Board-certified in one of the following:
(i)
Pediatrics;
(ii) Family practice;
or
(iii) Internal medicine;
or
(2) Be a
pediatric or family nurse practitioner or a physician assistant who is licensed
in good standing and certified to practice in the jurisdiction in which
services are provided.
C. A freestanding clinic as defined in COMAR
10.09.08 shall be considered for certification by the Healthy Kids Program as
an EPSDT screening provider if the clinic employs or contracts with one or more
of the licensed health care practitioners listed in §B of this
regulation.
D. Any health care
practitioner whose professional services are recognized in § 1905(a) of
the Social Security Act may apply to the Program to be an EPSDT treatment
provider.
E. EPSDT treatment
providers that are covered by the Program include:
(1) The following provider types that are
licensed in good standing to practice in the jurisdiction in which services are
provided:
(a) Chiropractors;
(b) Nurse psychotherapists;
(c) Nutritionists or dietitians;
(d) Occupational therapists;
(e) Professional counselors;
(f) Psychologists;
(g) Social workers;
(h) Speech therapists; or
(i) An intermediate care facility that
provides at least one of the following:
(i)
Clinically managed high intensity residential treatment; and
(ii) Medically monitored intensive inpatient
treatment;
(2) Lead paint risk assessors who are
accredited by the Maryland Department of the Environment in accordance with
COMAR 26.16.01.16;
(3) Audiologists and hearing aid providers,
as specified in COMAR
10.09.51.02C;
(4) Dentists as specified in COMAR
10.09.05.02C;
(5) Private duty nurses, as specified in
COMAR 10.09.53.02C;
(6) Residential treatment centers, as
specified in COMAR
10.09.29.02C;
(7) Therapeutic behavioral service providers,
as specified in COMAR
10.09.34.02C;
and
(8) Vision care and optical
providers, as specified in COMAR
10.09.14.02C.
(9) Therapeutic nursery service
providers, as specified in COMAR
10.21.18.03C.
F. In order to qualify
as an EPSDT treatment provider, an intermediate care facility shall:
(1) Be licensed under COMAR 10.63.03 or
certified under COMAR 10.47.02, whichever is appropriate; and
(2) If appropriate, provide separate social,
residential, dietary, and recreational activities for children and
adolescents.
