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

Universal Citation: MD Code Reg 10.09.64.05

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:

(1) An inpatient facility;

(2) A hospital outpatient department; or

(3) A freestanding clinic;

E. Visits by or to the provider solely for the purpose of the following:

(1) Prescription, drug, or food supplement pick-up;

(2) Recording of an electrocardiogram;

(3) Ascertaining the patient's weight;

(4) Interpretation of laboratory tests or panels; or

(5) Prescribing or administering medication;

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.

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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