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10.09.39.00.htm 10.09.39.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 09 MEDICAL CARE PROGRAMS Chapter 39 Doula Services Authority: Health-General Article, §2-104(b) 15-103, and 15-105, Annotated Code of Maryland
10.09.39.01.htm 10.09.39.01. 01 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) “Birthing parent” means the participant giving birth, who is receiving doula services throughout their pregnancy, including the prenatal, labor, and postpartum periods.2) “Certified doula” means a trained nonmedical professional who provides continuous physical, emotional, and informational support to the birthing parent throughout the prenatal and postpartum period
10.09.39.02.htm 10.09.39.02. 02 Certification Requirements.. A provider shall be certified by one of the following organizations, and present proof of all specified certifications for each organization:A. Doula Trainings International: Birth Doula and Postpartum Doula Certifications;. B. The Childbirth and Postpartum Professional Association (CAPPA) Certified Labor Doula, Certified Postpartum Doula, and Certified Community Lactation Educator Certifications;C. Black Doula Training (BDT) formerly the Interna
10.09.39.03.htm 10.09.39.03. 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 certified doula provider require that the provider:1) Maintain up-to-date certification through a doula certification program as specified in Regulation .02 of this chapter; and2) Shall have adequate liability insurance..
10.09.39.04.htm 10.09.39.04. 04 Covered Services.. A. Effective January 1, 2022, the Program covers doula services as defined in Regulation .01 of this chapter when the services:1) Are medically necessary;. 2) Are rendered during a birthing parent’s prenatal period, labor and delivery, and postpartum period; and3) If rendered via telehealth, comply with the requirements established in COMAR 10.09.49 and any other subregulatory guidance.B. The Program shall cover up to:.
10.09.39.05.htm 10.09.39.05. 05 Limitations.. Doula services covered under this chapter are subject to the following limitations:. A. One of the following providers shall be present while doula services are provided during the delivery:1) An obstetrician-gynecologist;. 2) A family medicine practitioner; or. 3) A certified nurse midwife.. B. Doula services furnished during labor and delivery may not be rendered via telehealth.. C. Payment for doula services shall be limited to direct services provided.
10.09.39.06.htm 10.09.39.06. 06 Payment Procedures.. A. The provider shall submit the request for payment in the format designated by the Program.. B. The Program reserves the right to return to the provider, before payment, all invoices not properly signed, completed, and accompanied by properly completed forms required by the Program.C. The provider shall charge the Program the provider’s customary charge to the general public. If the service is free to individuals not covered by Medicaid:1) The provider:.
10.09.39.07.htm 10.09.39.07. 07 Recovery and Reimbursement.. Recovery and reimbursement regulations are set forth in COMAR 10.09.36.07..
10.09.39.08.htm 10.09.39.08. 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..
10.09.39.09.htm 10.09.39.09. 09 Appeal Procedures.. Providers filing appeals from administrative decisions made in connection with these regulations shall do so according to COMAR 10.09.36.09.
10.09.39.10.htm 10.09.39.10. 10 Interpretive Regulation.. Interpretive regulatory requirements shall be as set forth in COMAR 10.09.36.10..
10.09.39.11.htm 10.09.39.11. 11 Implementation Date.. This chapter shall be implemented on January 1, 2022..
10.09.39.9999.htm 10.09.39.9999. Administrative History Effective date: February 21, 2022 (49:4 Md. R. 300).
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