Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.96 - Remote Patient Monitoring
Section 10.09.96.02 - Definitions
Universal Citation: MD Code Reg 10.09.96.02
Current through Register Vol. 51, No. 19, September 20, 2024
A. In this chapter, the following terms have the meanings indicated.
B. Terms Defined.
(1) "Certified nurse midwife" means an
individual who meets the licensure and conditions of participation for
certified nurse midwives set forth in COMAR 10.09.01.
(2) "Certified nurse practitioner" means an individual
who meets the licensure and conditions of participation for certified nurse
practitioners set forth in COMAR 10.09.01.
(3) "Department" means the Maryland
Department of Health, which is the single State agency designated to administer
the remote patient monitoring program.
(4) "Episode" means the span of treatment
during which remote patient monitoring services are rendered to eligible
participants.
(5) "Home" means the
place of residence occupied by the participant, other than a hospital, nursing
facility, or other medical or psychiatric institution.
(6) "Home health agency" means a public or
private agency or organization that meets the licensure requirements and
conditions of participation of COMAR 10.09.04.
(7) "Maryland Medical Assistance Program"
means the program of comprehensive medical, behavioral, and other
health-related care for indigent and medically indigent individuals, jointly
financed by the federal and state governments and administered by states under
Title XTK of the Social Security Act,
42 U.S.C § 1396 et seq., as amended.
(8) "Medically necessary" means that the
service or benefit is:
(a) Directly related
to diagnostic, preventive, curative, palliative, rehabilitative, or
ameliorative treatment of an illness, injury, disability, or health
condition;
(b) Consistent with
currently accepted standards of good medical practice;
(c) The most cost-efficient service that can
be provided without sacrificing effectiveness or access to care; and
(d) Not primarily for the convenience of the
consumer, family, or provider.
(9) "Participant" means an individual who is
certified as eligible for, and is receiving, Medical Assistance
benefits.
(10) "Physician " means
an individual who meets the licensure requirements and conditions of
participation of COMAR 10.09.02.
(11) "Physician assistant" means an
individual who meets the licensure requirements and conditions of participation
set forth in COMAR 10.09.55.
(12)
"Program" means the Maryland Medical Assistance Program.
(13) "Provider" means an individual or an
organization who:
(a) Meets the requirements
of Regulations . 03 and. 04 of this chapter; and
(b) Through an appropriate agreement with the
Department, has been identified as a Program provider by the issuance of a
unique provider number.
(14) "Remote patient monitoring" means the
use of synchronous or asynchronous digital technologies that collect or monitor
medical, patient-reported, and other forms of health care data for Program
participants at an originating site and electronically transmit that data to a
distant site provider to enable the distant site provider to assess, diagnose,
consult, treat, educate, provide care management, suggest self-management, or
make recommendations regarding the Program participant's health
care.
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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