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10.09.21.00.htm 10.09.21.00. Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 09 MEDICAL CARE PROGRAMS Chapter 21 Nurse Midwife Services Authority: Health-General Article, §2-104(b) 15-103, and 15-105, Annotated Code of Maryland
10.09.21.01.htm 10.09.21.01. 01 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) "American College of Nurse-Midwives (ACNM) means the private professional organization which sets the standards nationwide for the education and practice of nurse midwives and which certifies, by examination, those who have completed the approved educational program.2) "Board" means the State Board of Nursing.. 3) "Certified nurse midwife (CNM) means a register
10.09.21.02.htm 10.09.21.02. 02 License Requirements.. A. The provider shall meet all license requirements as set forth in COMAR 10.09.36.02.. B. A nurse midwife applying for provider status shall:. 1) Hold a current license to practice registered nursing in Maryland;. 2) Be certified as a nurse midwife by the American College of Nurse-Midwives; and. 3) Be in compliance with requirements to practice nurse midwifery established by the Board..
10.09.21.03.htm 10.09.21.03. 03 Conditions for Participation.. A. General requirements for participation in the Program are that a provider shall meet all conditions for participation as set forth in COMAR 10.09.36.03.B. Specific requirements for participation in the Program as a nurse midwife provider require that the provider:1) Be licensed and certified as described in Regulation .02 of this chapter;. 2) Have a written agreement with a physician, licensed as described in Regulation .02, of this chapt
10.09.21.04.htm 10.09.21.04. 04 Covered Services.. The Program covers medically necessary services rendered to recipients in accordance with the nurse midwife's written agreement with a physician. These services, which shall be clearly related to the recipient's medical needs and adequately described in the recipient's medical record, are:A. Management and complete care of essentially normal women, antepartally, intrapartally, and postpartally, including family planning and well-women reproductive care;
10.09.21.05.htm 10.09.21.05. 05 Limitations.. A. The Program does not cover the following under these regulations:. 1) Services not encompassed within the nurse midwife's written agreement with the physician;. 2) Services not medically necessary;. 3) Services prohibited by the Maryland Nurse Practice Act or by the State Board of Nursing;. 4) Nurse midwife services provided to HMO-MA enrollees;. 5) Nurse midwife services for inpatient recipients in State-operated psychiatric, mental retardation
10.09.21.06.htm 10.09.21.06. 06 Preauthorization Requirements.. Reserved..
10.09.21.07.htm 10.09.21.07. 07 Payment Procedures.. A. The provider shall submit a completed request for payment in the manner prescribed by the Department, submitting necessary documentation as required.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 customary charge to the general public for similar services and charge the provider’s acquisition cost for injectable d
10.09.21.08.htm 10.09.21.08. 08 Recovery and Reimbursement.. Recovery and reimbursement are as set forth in COMAR 10.09.36.07..
10.09.21.09.htm 10.09.21.09. 09 Cause for Suspension or Removal and Imposition of Sanctions.. Cause for suspension or removal and imposition of sanctions are as set forth in COMAR 10.09.36.08..
10.09.21.10.htm 10.09.21.10. 10 Appeal Procedures.. Appeal procedures are as set forth in COMAR 10.09.36.09..
10.09.21.11.htm 10.09.21.11. 11 Interpretive Regulation.. State regulations are interpreted as set forth in COMAR 10.09.36.10..
10.09.21.9999.htm 10.09.21.9999. Administrative History Effective date: January 6, 1983 (9:26 Md. R. 2572). 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 .02C adopted effective July 1, 1988 (15:9 Md. R. 1108). Regulation .04 amended effective July 1, 1988 (15:9 Md. R. 1108). Regulation .05 amended effective July 25, 1988 (15:14 Md. R. 1655). Regulation .07 amended as
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