Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.32 - Targeted Case Management for HIV-Infected Individuals
Section 10.09.32.05 - Limitations
Universal Citation: MD Code Reg 10.09.32.05
Current through Register Vol. 51, No. 19, September 20, 2024
A. HIV-targeted case management shall be advisory in nature.
B. A restriction may not be placed on qualified recipients' option to receive HIV case management services.
C. HIV-targeted case management does not restrict or otherwise affect:
(1) Eligibility
for Title XIX benefits or other available benefits or programs;
(2) The freedom of a recipient to select from
all available services for which the individual is found to be eligible;
or
(3) The participant's free
choice of qualified providers.
D. HIV-targeted case management may not be:
(1) Provided as an integral and inseparable
part of another covered Program service;
(2) Provided as an administrative
function;
(3) Rendered in
connection with the implementation of the Social Security Act, § 1915(b)
or 1915(c); or
(4) Part of
institutional discharge planning.
E. Reimbursement may not be made for HIV-targeted case management services if the participant is:
(1) Eligible to receive services under the
Maryland Medicaid Managed Care Program, as defined in COMAR 10.09.62;
or
(2) Receiving comparable case
management services under:
(a) The Rare and
Expensive Case Management Program, as defined in COMAR 10.09.69; or
(b) Under another Program
authority.
F. A participant's case manager may not be a direct services provider for the participant.
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