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10.09.17.00.htm 10.09.17.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 09 MEDICAL CARE PROGRAMS Chapter 17 Physical Therapy Services Authority: Health-General Article, §2-104(b) 15-103, and 15-105, Annotated Code of Maryland
10.09.17.01.htm 10.09.17.01. 01 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) "Department" means the Maryland Department of Health, which is the single State agency designated to administer the Maryland Medical Assistance Program pursuant to Title XIX of the Social Security Act, 42 U.S.C. §1396 et seq.2) "Direct supervision" means that a licensed physical therapist is personally present and immediately available within the same treatment area as the
10.09.17.02.htm 10.09.17.02. 02 Licensure and Certification Requirements.. A. To provide services as a physical therapist under this chapter, a physical therapist shall be:. 1) Licensed by the State Board of Physical Therapy Examiners of Maryland to practice physical therapy, as defined in Health Occupations Article, Title 13, Annotated Code of Maryland, or by the appropriate licensing body in the jurisdiction where the physical therapy services are performed; and2) If providing services
10.09.17.03.htm 10.09.17.03. 03 Conditions for Participation.. To participate in the Program, the provider shall:. A. Comply with the conditions for participation as set forth in COMAR 10.09.36;. B. Maintain the office and medical equipment so that they are free of hazards to the health and safety of recipients.
10.09.17.04.htm 10.09.17.04. 04 Covered Services.. A. The Physical Therapy Program covers medically necessary physical therapy services ordered in writing by a physician, dentist, or podiatrist when the services are:1) Provided by a licensed physical therapist or by a licensed physical therapist assistant under a licensed physical therapist's direct supervision.2) Provided in the provider's office, the patient's home, or a domiciliary level facility..
10.09.17.05.htm 10.09.17.05. 05 Limitations.. A. The Program does not cover the following:. 1) Services provided in a facility or by a group where reimbursement for physical therapy is covered by another segment of the Program;2) Services performed by physical therapist assistants when not under the direct supervision of a physical therapist;3) Services performed by physical therapy aides; or. 4) Experimental treatment.. B. A physical therapist may only supervise two physical therapy assistants at a time..
10.09.17.06.htm 10.09.17.06. 06 Payment Procedures.. A. The provider shall submit the request for payment of services rendered according to procedures established by the Department and in the format designated by the Department.B. The provider shall certify on the invoice that the treatment order is on file and was in effect at the time that services were rendered.C. The provider shall specify on the invoice the type of treatment provided.. D. A provider shall bill the Program the provider’
10.09.17.07.htm 10.09.17.07. 07 Recovery and Reimbursement.. Recovery and reimbursement for this chapter are as set forth in COMAR 10.09.36.07..
10.09.17.08.htm 10.09.17.08. 08 Cause for Suspension or Removal and Imposition of Sanctions.. A. Cause for suspension or removal and imposition of sanctions for this chapter are as set forth in COMAR 10.09.36.08.B. The Department may consult with a peer review committee approved by a local chapter of the American Physical Therapy Association. The Department will give consideration to the findings and recommendations of this group.
10.09.17.09.htm 10.09.17.09. 09 Appeal Procedures.. Appeal procedures for this chapter are set forth in COMAR 10.09.36.09..
10.09.17.10.htm 10.09.17.10. 10 Interpretive Regulation.. The interpretive regulation for this chapter is set forth in COMAR 10.09.36.10..
10.09.17.9999.htm 10.09.17.9999. Administrative History Effective date: July 11, 1980 (7:14 Md. R. 1349). Regulation .03A amended effective January 6, 1983 (9:26 Md. R. 2572) January 30, 1984 (11:2 Md. R. 113)Regulation .07F amended effective October 1, 1982 (9:19 Md. R. 1895). Regulation .07F amended as an emergency provision effective July 1, 1982 (9:17 Md. R. 1698) emergency status expired September 30, 1982Regulation .07F amended as an emergency provision effective July 1, 1984 (11:13 Md. R. 1171) adopted
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