Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 21 - MENTAL HYGIENE REGULATIONS
Chapter 10.21.15 - Petition for Emergency Evaluation-Payment for Services
Section 10.21.15.06 - Payment Rates
Universal Citation: MD Code Reg 10.21.15.06
Current through Register Vol. 51, No. 19, September 20, 2024
The Department shall pay:
A. Hospitals, at rates approved by the Health Services Cost Review Commission;
B. Physicians, the lesser of the:
(1) Amount
billed; or
(2) The Statewide
average of prevailing charges for an examination by a physician consultant
based on Medicare's 75th percentile as determined according to
42 CFR § 405.504; and
C. Transportation providers, if transportation is by:
(1) Ambulance, the
lesser of the:
(a) Amount billed,
or
(b) The Statewide average of
prevailing charges for an ambulance based on Medicare's 75th percentile;
or
(2) A law enforcement
officer in an emergency vehicle:
(a) The cost
per mile based on the county's established rates for emergency vehicles,
and
(b) The cost of the law
enforcement officer's hourly wage for the number of hours, not to exceed 4
hours, required to transport the emergency evaluee.
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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