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10.18.10.00.htm 10.18.10.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 18 HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION AND ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) Chapter 10 Urgent Maryland AIDS Drug Assistance Program Authority: Health-General Article, §2-104(b) 2-104(j) 2-105(a) and 18-102(a) Annotated Code of Maryland
10.18.10.01.htm 10.18.10.01. 01 Purpose.. The purpose of the Urgent Maryland AIDS Drug Assistance Program is to provide expedited assistance to individuals with Human Immunodeficiency Virus (HIV) who have an immediate need for HIV drugs and other products.
10.18.10.02.htm 10.18.10.02. 02 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) “Acquired immunodeficiency syndrome (AIDS) means the medical condition caused by the Human Immunodeficiency Virus.2) “Agent” means a case manager, licensed social worker, registered nurse, or any other related professional that assists an individual in submitting an application to the Urgent Maryland AIDS Drug Assistance Program.3) “Applicant” means an i
10.18.10.03.htm 10.18.10.03. 03 Eligibility.. To be eligible for coverage, an individual shall be eligible for MADAP as specified in COMAR 10.18.05.02 and:A. Be taking antiretroviral medication and have less than 2-week supply;. B. Have an acute medical condition needing immediate access to medication as attested by the agent; orC. Be a pregnant woman needing medications to prevent perinatal transmission of HIV..
10.18.10.04.htm 10.18.10.04. 04 Application and Enrollment.. A. Application.. 1) The agent of the applicant shall:. a) Submit a complete Urgent MADAP application to the Department on the form designated by the Department; andb) Within 30 business days of submitting the application, submit all supporting documentation required by the Department.2) The agent of the applicant or applicant may voluntarily withdraw the Urgent MADAP application at any time without prejudice.3) The Department shall:.
10.18.10.05.htm 10.18.10.05. 05 Covered Services.. A. The recipient shall obtain a prescription for each drug or other product ordered for the recipient.B. The Department shall pay for a prescription drug or other product not excluded from the open formulary if the prescription is ordered and signed by a health care practitioner for a recipient.
10.18.10.06.htm 10.18.10.06. 06 Recovery of Payments.. If benefits have been incorrectly paid or another payer has been identified, the Department shall seek recovery of the amount of those payments.
10.18.10.07.htm 10.18.10.07. 07 Fraud.. The Department shall pursue cases of suspected misrepresentation or fraud pursuant to:. A. Criminal Law Article, §8-503, Annotated Code of Maryland; or. B. Any other applicable statutory provision..
10.18.10.08.htm 10.18.10.08. 08 Confidentiality.. Except when communicating with the parties listed in §B of this regulation and unless otherwise authorized by law, the agent of an applicant, or the agent of a recipient, the Department:A. Shall keep all applicant and recipient personal information confidential;. B. May not disclose personal information kept on an applicant or recipient without written consent of the:1) Applicant;. 2) Recipient;. 3) Applicant’s parent or legal guardian; or.
10.18.10.09.htm 10.18.10.09. 09 Availability of Funding and Program Termination.. A. If sufficient monies are not available to fund Urgent MADAP, the Department shall take the action necessary to eliminate a deficit which may include program termination.B. If Urgent MADAP is terminated, the Department shall provide benefits for each current recipient in accordance with Regulation .04B of this chapter.
10.18.10.9999.htm 10.18.10.9999. Administrative History Effective date: March 28, 2016 (43:6 Md. R. 408). Regulation .02B amended effective May 20, 2019 (46:10 Md. R. 488). Regulation .03B amended effective May 20, 2019 (46:10 Md. R. 488). Regulation .04 amended effective May 20, 2019 (46:10 Md. R. 488). Regulation .05B amended effective May 20, 2019 (46:10 Md. R. 488).
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