Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.69 - Maryland Medicaid Managed Care Program: Rare and Expensive Case Management
Section 10.09.69.03 - REM Eligibility
Universal Citation: MD Code Reg 10.09.69.03
Current through Register Vol. 51, No. 19, September 20, 2024
A. An individual is eligible to participate in the REM program if the individual:
(1) Is eligible for Maryland Medicaid Managed
Care as specified in COMAR
10.09.63.01;
(2) Has one or more of the diagnoses
specified in Regulation .17 of this chapter; and
(3) Elects to participate in the REM
program.
B. The Department shall render a determination of an individual's eligibility within 5 business days on receipt of:
(1) A completed
REM application;
(2) Any requested
documentation verifying an individual meets the criteria set forth in §A
of this regulation; and
(3) Verbal
or written confirmation an individual elects to participate.
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