Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.84 - Community First Choice
Section 10.09.84.22 - Conditions for Reimbursement
Universal Citation: MD Code Reg 10.09.84.22
Current through Register Vol. 51, No. 19, September 20, 2024
The Program shall reimburse for the services specified in Regulations .14-.21 of this chapter, if provided in accordance with the requirements of this chapter and if the service:
A. Is recommended on the participant's plan of service as necessary in order to:
(1)
Prevent the applicant's or participant's admission to an institution;
(2) Safely transition the applicant or
participant from an institution, such as a nursing facility, into the
community; or
(3) Assure the health
and safety of an applicant or participant in the community;
B. Has been preauthorized by the Department in the participant's plan of service;
C. Is provided to an enrolled participant;
D. Is medically necessary; and
E. Is provided by a Medicaid provider who meets the conditions for participation under this chapter.
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