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10.09.38.00.htm 10.09.38.00. Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 09 MEDICAL CARE PROGRAMS Chapter 38 Healthy Start Program Authority: Health-General Article, §2-104(b) 15-103, and 15-105, Annotated Code of Maryland
10.09.38.01.htm 10.09.38.01. 01 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) "Department" means the State Department of Health and Mental Hygiene.. 2) "Dietitian or nutritionist" means an individual who:. a) Meets the licensing requirements in Regulation .02D of this chapter;. b) Meets the conditions of participation in Regulation .03A and D of this chapter; and. c) Has a provider agreement with the Department as a Program provider of di
10.09.38.02.htm 10.09.38.02. 02 Licensing Requirements.. A. A certified nurse midwife providing Healthy Start services shall be:. 1) Licensed as a registered nurse in the state in which services are provided;. 2) Certified as a nurse midwife by the American College of Nurse-Midwives; and. 3) In compliance with requirements to practice nurse midwifery in the state in which services are provided.B. Physicians providing Healthy Start services shall be licensed and legally authorized to practice
10.09.38.03.htm 10.09.38.03. 03 Conditions for Participation.. A. General requirements for participation in the Medical Assistance Program are that providers shall:1) Meet the licensure requirements in Regulation .02 of this chapter, and verify the licenses and credentials of all professionals employed by the provider;2) Apply for participation in the Program using an application form designated by the Department;. 3) Be approved for participation by the Department;.
10.09.38.04.htm 10.09.38.04. 04 Covered Services.. Effective July 1, 2006, the Program shall reimburse for the following services:. A. Risk Assessment―Plan of Care.. 1) One unit of service is to be reimbursed for each pregnancy.. 2) A risk assessment is an appraisal of the participant's medical history and current health, nutritional, psychological, and social status, as specified in the Healthy Start Risk Assessment Instrument. It results in the identification of problems having an impact on the out
10.09.38.05.htm 10.09.38.05. 05 Limitations.. The Healthy Start Program may not restrict or otherwise affect:. A. Eligibility for benefits under Title XIX of the Social Security Act or other available benefits or programs; andB. The provider's right to bill the Program for other covered program services..
10.09.38.06.htm 10.09.38.06. 06 Payment Procedures.. A. Request for Payment.. 1) Requests for payment of Healthy Start Program services rendered and completed shall be submitted by an approved provider according to procedures established by the Department. Payment requests which are not properly prepared or submitted may not be processed, but shall be returned unpaid to the provider.2) Requests for payment shall be submitted on the invoice form specified by the Department. A separate invoice shall be submi
10.09.38.07.htm 10.09.38.07. 07 Recovery and Reimbursement.. Recovery and reimbursement are as set forth in COMAR 10.09.36.07..
10.09.38.08.htm 10.09.38.08. 08 Cause for Suspension or Removal and Imposition of Sanctions.. Cause for suspension or removal and imposition of sanctions are set forth in COMAR 10.09.36.08..
10.09.38.09.htm 10.09.38.09. 09 Appeal Procedures.. Appeal procedures are as set forth in COMAR 10.09.36.09..
10.09.38.10.htm 10.09.38.10. 10 Interpretive Regulation.. State regulations are interpreted as set forth in COMAR 10.09.36.10..
10.09.38.9999.htm 10.09.38.9999. Administrative History Effective date: July 1, 1989 (16:12 Md. R. 1337). Regulations .01―05 amended as an emergency provision effective August 1, 1989 (16:16 Md. R. 1745) amended permanently effective November 29, 1989 (16:22 Md. R. 2364)Regulation .01B amended effective September 3, 1990 (17:17 Md. R. 2080) July 20, 1992 (19:14 Md. R. 1283) June 2, 1997 (24:11 Md. R. 794) November 23, 2006 (33:23 Md. R. 1795)Regulation .02 amended effective July 20, 1992 (19
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