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 10.21.15.07 - Subrogation by the Department
Universal Citation: MD Code Reg 10.21.15.07
Current through Register Vol. 51, No. 19, September 20, 2024
A. Before billing the Department, the provider shall:
(1) Take all reasonable steps to collect the
charge from the emergency evaluee and, if applicable, from insurers, including
Medicare and Medical Assistance; or
(2) Make and document a determination of the
evaluee's inability to pay, according to the provisions of Regulation .03 of
this chapter.
B. A provider:
(1) Shall accept as payment in full
the maximum payment amount allowable under Medicare for services rendered to
eligible participants; and
(2) May
not bill the Department for any amount in excess of that allowable under
§B(1) of this regulation.
C. If a provider receives payment from both the Department and another source, within 30 calendar days of receipt of payment by the other source, the provider shall refund to the Department the amount in excess of the maximum payment allowable under the provisions of §B of this regulation that was paid by the Department.
D. The provider shall immediately reimburse the Department for any overpayment.
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