Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.46 - Home and Community-Based Services Waiver for Individuals with Brain Injury
Section 10.09.46.10 - Conditions for Reimbursement
Universal Citation: MD Code Reg 10.09.46.10
Current through Register Vol. 51, No. 19, September 20, 2024
The Department shall reimburse for services covered under this chapter if the services are:
A. Provided to a participant who meets the qualifications for eligibility specified in Regulations .02 and .03 of this chapter;
B. Preauthorized in the participant's waiver plan of care by the BHA, as being reasonable and medically necessary to prevent institutionalization;
C. Provided by an approved provider which meets the conditions for participation in Regulations .05 and .06 of this chapter; and
D. Rendered pursuant to:
(1) The relevant definition of covered
services in Regulation .01 of this chapter;
(2) All other requirements specified in this
chapter and COMAR 10.09.36; and
(3)
The waiver proposal and any amendments to it approved by the Secretary of the
U.S. Department of Health and Human Services.
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