Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.59 - Specialty Mental Health Services
Section 10.09.59.09 - Payment Procedures
Current through Register Vol. 51, No. 19, September 20, 2024
A. Payment procedures shall be followed as specified in COMAR 10.09.36.04.
B. A provider shall deliver and document services in accordance with Department regulations in order to receive reimbursement.
C. Unless the care is free to other patients, a provider shall bill the Program its usual and customary charge to the general public.
D. The Department shall authorize supplemental payment on Medicare claims only if:
E. The Department shall make payment on Medicare claims subject to the following provisions:
F. A provider may not bill the Program for:
G. Billing time limitations for claims submitted under this chapter are set forth in COMAR 10.09.36.06.
H. The Department shall reimburse providers according to the fee schedule in COMAR 10.21.25.
I. Psychiatric rehabilitation programs shall identify the mental health professional who referred the individual to psychiatric rehabilitation services by recording the individual practitioner's National Provider Identifier (NPI) number on the claim.