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10.09.19.00.htm 10.09.19.00. Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 09 MEDICAL CARE PROGRAMS Chapter 19 Transportation Grants Authority: Health-General Article, ยง2-104(b) 15-103, and 15-105, Annotated Code of Maryland
10.09.19.01.htm 10.09.19.01. 01 Scope.. These regulations govern the administration of grants to counties, municipal corporations, and nonprofit organizations for the provision of safety-net transportation services to Medical Assistance Program recipients. The grant funds are to be used by grantees to:A. Screen requests for transportation by recipients;. B. Arrange for transportation;. C. Expand existing and develop new transportation resources; and.
10.09.19.02.htm 10.09.19.02. 02 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) "Ambulance" means a specially designed vehicle used for transporting the sick or injured, which has necessary patient care equipment including a stretcher, clean linens, first aid supplies, oxygen equipment, and, in addition, other safety and lifesaving equipment which may be required by State or local laws to classify the vehicle as an ambulance.
10.09.19.03.htm 10.09.19.03. 03 Procedure for Submission of Proposals.. A. The Secretary shall request proposals for the award of transportation grants.. B. An applicant shall include in the applicant's proposal a description of how the applicant intends to carry out the duties required by these regulations. At a minimum, the applicant shall include the following items in the proposal:1) The criteria which the applicant will use to determine the recipient's need for transportation services;
10.09.19.04.htm 10.09.19.04. 04 Services to Recipients.. A. A grantee is responsible for arranging or providing nonemergency transportation to and from medically necessary covered services to Medical Assistance recipients and, when necessary, their attendants, who have no other means of transportation available. In carrying out this duty, a grantee:1) Shall screen recipients' requests for transportation in order to identify whether transportation is available to the recipients from other sources;
10.09.19.05.htm 10.09.19.05. 05 Limitations.. Monies from a grant provided under these regulations may not be used to pay for the following:. A. Emergency transportation services;. B. Medicare ambulance services;. C. Transportation to or from Veterans Administration hospitals unless it is to receive treatment for a non-military-related condition;D. Transportation to or from any correctional institutions;. E. Transportation of recipients committed by the courts to mental institutions;. F. Transportation between
10.09.19.06.htm 10.09.19.06. 06 Notices to Recipients.. Whenever a grantee determines that the grantee will not arrange or provide transportation for a recipient who has requested transportation at least 24 hours in advance, even though the recipient has no available transportation resource, the grantee shall send the recipient a notice on a form, approved by the Department, that states the recipient has a right to a fair hearing pursuant to COMAR 10.09.24.13.
10.09.19.07.htm 10.09.19.07. 07 Documentation.. A grantee shall document the following items and make the documentation available to the Department upon request:A. Whether the recipient had other transportation available or could reschedule the appointment to a time when transportation would be available;B. That any transportation paid for out of grant funds was to or from a medically necessary service for a recipient; andC. Which recipients the grantee denied transportation and the reason or reasons why..
10.09.19.08.htm 10.09.19.08. 08 Accountability.. The Department shall:. A. Follow all applicable policies required by COMAR 10.04.04 when approving grants; and. B. Reconcile each grant on a yearly basis..
10.09.19.09.htm 10.09.19.09. 09 Responsibility to Recipients.. A grantee is expected to meet the transportation needs of recipients in a grantee's county out of grant funds. In those circumstances when the grant funds are insufficient, the grantee shall contact the Program's staff specialist for transportation services, who shall evaluate and assist in resolving transportation requests. A grantee may not refuse services or assistance to a recipient who requests transportation on the basis that the grantee's
10.09.19.10.htm 10.09.19.10. 10 Interpretive Regulation.. These regulations shall be interpreted in conformity with applicable federal statutes and regulations.
10.09.19.9999.htm 10.09.19.9999. Administrative History Effective date: June 26, 1981 (8:13 Md. R. 1139). Regulation .03A amended effective January 6, 1983 (9:26 Md. R. 2572) January 30, 1984 (11:2 Md. R. 113)Regulation .07F amended effective January 30, 1984 (11:2 Md. R. 113) September 10, 1984 (11:18 Md. R. 1584)Regulation .09A amended effective May 12, 1986 (13:9 Md. R. 1029). Regulation .11 amended effective June 6, 1983 (10:11 Md. R. 974).
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