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10.09.31.00.htm 10.09.31.00. Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 09 MEDICAL CARE PROGRAMS Chapter 31 Emergency Service Transporters Health-General Article, ยง2-104(b) 15-103, 15-105, and 15-114.1, Annotated Code of Maryland
10.09.31.01.htm 10.09.31.01. 01 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) "Department" has the meaning stated in COMAR 10.09.36.. 2) "Emergency service transporter" means a public entity or volunteer fire, rescue, or emergency medical service that provides emergency medical transportation services.3) "Facility" means a hospital or nursing facility including an intermediate care facility, skilled nursing facility, comprehensive care facility, or
10.09.31.02.htm 10.09.31.02. 02 Licensing Requirements.. A provider shall meet all licensing requirements:. A. Set forth in COMAR 10.09.36; and. B. In the jurisdiction where the service is provided..
10.09.31.03.htm 10.09.31.03. 03 Conditions for Participation.. To participate in the Program, the provider shall:. A. Comply with the conditions for participation set forth in COMAR 10.09.36;. B. Certify that all third-party payers are routinely billed for services; and. C. Retain all documentation, including but not limited to run sheets, for 6 years..
10.09.31.04.htm 10.09.31.04. 04 Covered Services.. The Program covers the following services when provided by an enrolled emergency service transporter to an eligible recipient in response to a 911 call initiated on or after July 1, 1999:A. Transportation to a facility; and. B. Medical services provided while transporting the recipient to a facility..
10.09.31.05.htm 10.09.31.05. 05 Limitations.. Under this chapter, the Program does not cover services:. A. Not in response to a 911 call;. B. Performed by an emergency service transporter that is not enrolled with the Program;. C. To anyone other than an eligible recipient; and. D. For which proper documentation, including but not limited to run sheets, cannot be provided on request of the Department or its designee.
10.09.31.06.htm 10.09.31.06. 06 Payment Procedures.. A. Payment procedures for this chapter are set forth in COMAR 10.09.36.. B. Payment for covered services provided in response to each 911 call incident is the lesser of:. 1) The amount billed; or. 2) $100.. C. Billing time limitations for claims submitted pursuant to this chapter are set forth in COMAR 10.09.36.
10.09.31.07.htm 10.09.31.07. 07 Recovery and Reimbursement.. Recovery and reimbursement under this chapter are set forth in COMAR 10.09.36..
10.09.31.08.htm 10.09.31.08. 08 Cause for Suspension or Removal and Imposition of Sanctions.. Cause for suspension or removal and imposition of sanctions under this chapter are set forth in COMAR 10.09.36.
10.09.31.09.htm 10.09.31.09. 09 Appeal Procedures.. Appeal procedures under this chapter are set forth in COMAR 10.09.36..
10.09.31.9999.htm 10.09.31.9999. Administrative History Effective date: June 14, 1999 (26:12 Md. R. 925).
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