Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.49 - Telehealth Services
Section 10.09.49.02 - Definitions
Universal Citation: MD Code Reg 10.09.49.02
Current through Register Vol. 51, No. 19, September 20, 2024
A. In this chapter, the following terms have the meanings indicated.
B. Terms Defined.
(1) "Administrative services organization
(ASO)" means an entity that manages the Public Behavioral Health System on
behalf of the Department
(2)
"Department" means the Maryland Department of Health, which is the single State
agency designated to administer the Medical Assistance Program under Title XIX
of the Social Security Act, 42 U.S.C. § 1396 et
seq.
(3) "Distant site" means a
site at which the licensed, certified, or otherwise authorized distant site
provider is located at the time the service is provided via technology-assisted
communication.
(4) "Distant site
provider" means the licensed, certified, or otherwise authorized provider at
the distant site who provides medically necessary services via telehealth to
the patient.
(5) "GT modifier"
means the Healthcare Common Procedure Coding System (HCPCS) service code
modifier indicating that the provider rendered a healthcare service via an
interactive audio and video telecommunications system.
(6) "Medically necessary" has the meaning stated in
COMAR 10.09.36.01.
(7)
"Originating site" means the location of an eligible Medicaid participant at
the time the service being furnished via technology-assisted communication
occurs.
(8) "Participant" means an
individual who is certified as eligible for, and is receiving, Medical
Assistance benefits.
(9)
"Provider" means:
(a) An individual,
association, partnership, corporation, unincorporated group, or any other
person authorized, licensed, or certified to provide services for Medical
Assistance participants and who, through appropriate agreement with the
Department, has been identified as a Maryland Medical Assistance Provider by
the issuance of an individual account number;
(b) An agent, employee, or related party of a
person identified in §B(12)(a) of this regulation;
(c) An individual or any other person with an
ownership interest in a person identified in §B(12)(a) of this
regulation.
(10) Store
and Forward Technology.
(a) "Store and
forward technology" means the transmission of medical images or other media
captured by the originating site provider and sent electronically to a distant
site provider, who does not physically interact with the patient located at the
originating site.
(b) "Store and
forward technology" does not mean dermatology, ophthalmology, or radiology
services according to COMAR 10.09.02.07.
(11) "Technology-assisted communication"
means multimedia communication equipment permitting two-way real-time
interactive communication between a patient at an originating site and a
distant site provider at a distant site.
(12) "Telehealth" means the synchronous delivery of
medically necessary services to a patient at an originating site by distant
site provider, through the use of technology-assisted communication.
(13) "Telehealth Program" means the program
by which medically necessary services are authorized to be delivered via
technology-assisted communication between originating and distant site
providers.
Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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