Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.64 - Collaborative Care Model
Section 10.09.64.05 - Limitations
Current through Register Vol. 51, No. 19, September 20, 2024
Under this chapter, the Program does not cover the following:
A. Services not specified in Regulation .03 of this chapter;
B. Services not medically necessary;
C. Services prohibited by the Maryland Nurse Practice Act or by the State Board of Nursing;
D. Advanced practice nursing services included as part of the cost of:
E. Visits by or to the provider solely for the purpose of the following:
F. Drugs and supplies which are acquired by the provider at no cost;
G. Services paid under the free-standing dialysis program as described in COMAR 10.09.22;
H. Prescriptions and injections for central nervous system stimulants and anorectic agents when used for weight control;
I. Acupuncture;
J. Hypnosis;
K. Travel expenses;
L. Investigational or experimental drugs and procedures;
M. Services denied by Medicare as not medically justified;
N. Specimen collection, except by venipuncture and capillary or arterial puncture, as a separate service;
O. Laboratory or X-ray services performed by another facility, which shall be billed to the Program directly by the facility; and
P. For certified nurse midwives, a separate visit charge on date of delivery.