Current through Register Vol. 51, No. 19, September 20, 2024
The following services are covered under this
chapter:
A. Office medical visits for
the primary purpose of providing age and sex appropriate family planning
services, which include:
(1) Focused history,
physical exam, and laboratory testing necessary to evaluate and manage the
participant's choice of chemical, mechanical, or other method to prevent
conception;
(2)
Basic education regarding human sexuality and reproduction;
(3) Advice and counseling regarding all
family planning methods, including natural family planning measures and
sterilization procedures, the availability and effectiveness of methods,
procedures involved in each, and untoward effects and potential complications
of each method; and
(4) Referral
mechanism and documented referral for all patients demonstrating illness,
disease, or pregnancy;
B. Specimen collection by venipuncture or
capillary puncture when performed by either the medical practitioner or the
laboratory;
C. Pregnancy test if
indicated by physical examination or history, or both, when performed by either
the medical practitioner or the laboratory;
D. The following laboratory tests:
(1) Hemoglobin or hematocrit, or
both;
(2) Urinalysis for albumin
sugar;
(3) Urine culture and
sensitivity studies;
(4) Appropriate
laboratory tests to screen for sexually transmitted infections;
(5) Smear wet mount and KOH with
interpretation;
(6) Rubella titer of females without documentation of
prior rubella immunization; and
(7)
Pap smear;
E.
Pharmaceutical supplies and devices:
(1) To
prevent conception through chemical, mechanical, or other methods, which are
covered by the Maryland Medical Assistance Program under COMAR
10.09.03.04B;
and
(2) To treat sexually
transmitted infections when diagnosed during the course of an office visit, as
outlined in §A of this regulation, which are covered under COMAR
10.09.03.04 except treatment for:
(a) Human immunodeficiency virus;
and
(b) Hepatitis.
F. Permanent
sterilization only when performed according to criteria in 42 CFR Part 441,
Subpart F, Sterilizations, as amended, and when the appropriate forms are:
(1) Properly completed; and
(2) Available in the medical record for
review; and
G. Human
papillomavirus vaccine.
