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10.09.01.00.htm 10.09.01.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 09 MEDICAL CARE PROGRAMS Chapter 01 Advanced Practice Nurse Services Authority: Health-General Article, §2-104(b) 15-103, and 15-105, Annotated Code of Maryland
10.09.01.01.htm 10.09.01.01. 01 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) “Advanced practice nurse” means a:. a) Certified nurse practitioner;. b) Certified nurse midwife; or. c) Certified registered nurse anesthetist.. 2) "Board" means the Maryland State Board of Nursing.. 3) "Certified nurse midwife (CNM) means a registered nurse who is:. a) Certified by the Board to practice nurse midwifery under COMAR 10.27.05;.
10.09.01.02.htm 10.09.01.02. 02 License and Certification Requirements.. A. The provider shall:. 1) Meet all license requirements as set forth in COMAR 10.09.36.02; and. 2) Be licensed and hold all certifications as required by the Board.. B. If practicing out-of-State, the provider shall meet the regulatory requirements of the state in which the services are provided.
10.09.01.03.htm 10.09.01.03. 03 Conditions for Participation.. A. A provider shall meet all conditions for participation as set forth in COMAR 10.09.36.03.. B. An advanced practice nurse may not knowingly employ or contract with a person, partnership or corporation which the Program has disqualified from providing or supplying services to Program participants.
10.09.01.04.htm 10.09.01.04. 04 Covered Services.. A. Subject to §B of this regulation, the Program covers medically necessary services rendered to participants as follows:1) For nurse practitioners:. a) Medically necessary services within the provider’s scope of practice as described in COMAR 10.27.07; orb) If out-of-State, nurse practitioner services authorized in the state in which the services are provided;2) For nurse midwives:. a) Medically necessary services within the provider’s scope of practice as
10.09.01.05.htm 10.09.01.05. 05 Limitations.. Under this chapter, the Program does not cover the following:. A. Services not medically necessary;. B. Services prohibited by the Maryland Nurse Practice Act or by the Board;. C. Advanced practice nursing services included as part of the cost of:. 1) An inpatient facility;. 2) A hospital outpatient department; or. 3) A freestanding clinic;. D. Visits by or to the provider solely for the purpose of the following:. 1) Prescription, drug, or food supplement pick-up;.
10.09.01.06.htm 10.09.01.06. 06 Payment Procedures.. A. The provider shall submit the request for payment in the format designated by the Department.. B. The Department reserves the right to return to the provider, before payment, all requests for payment not properly completed.C. The provider shall charge the Program the provider’s:. 1) Customary charge to the general public for similar services; and. 2) Acquisition cost for injectable drugs or dispensed medical supplies..
10.09.01.07.htm 10.09.01.07. 07 Recovery and Reimbursement.. Recovery and reimbursement are as set forth in COMAR 10.09.36.07..
10.09.01.08.htm 10.09.01.08. 08 Causes for Suspension or Removal and Imposition of Sanctions.. Causes for suspension or removal and imposition of sanctions are as set forth in COMAR 10.09.36.08..
10.09.01.9999.htm 10.09.01.9999. Administrative History Effective date: May 14, 1990 (17:9 Md. R. 1090). Regulation .01 amended effective May 31, 1999 (26:11 Md. R. 854). Regulation .02C amended effective May 31, 1999 (26:11 Md. R. 854). Regulations .02 and .03 amended as an emergency provision effective September 16, 1992 (19:20 Md. R. 1812) amended permanently effective January 1, 1993 (19:25 Md. R. 2205)Regulation .05G, Q amended effective May 31, 1999 (26:11 Md. R. 854). Regulation .06 amended as
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