Skip to Main Content
<< Back | Return to Main COMAR Search Page

13 records match your request.

FileAbstract
10.09.49.00.htm 10.09.49.00. Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 09 MEDICAL CARE PROGRAMS Chapter 49 Telehealth Services Authority: Health-General Article, §2-104(b) 15-103, 15-105, and 15-105.2(b) Annotated Code of Maryland; Ch. 280, Acts of 2013; Ch. 366, Acts of 2016; Ch. 367, Acts of 2016
10.09.49.01.htm 10.09.49.01. 01 Scope.. A. This chapter applies to telehealth programs reimbursed by the Maryland Medicaid Program.. B. The purpose of providing medically necessary services via telehealth is to improve:. 1) Access to somatic and behavioral health services, thus reducing preventable hospitalizations and reducing barriers to health care access;2) Access to outpatient and inpatient subspecialty services, thus improving diagnostic clarification, treatment recommendations, and planning for the
10.09.49.02.htm 10.09.49.02. 02 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) “Administrative services organization (ASO) means an entity that manages the Public Behavioral Health System on behalf of the Department.2) “Campus” means the physical area immediately adjacent to the provider’s main buildings, other areas, and structures that are not strictly contiguous to the main buildings but are located on the same property, and any other
10.09.49.03.htm 10.09.49.03. 03 Registration.. An eligible originating and distant site provider shall register with the Department before providing telehealth services.
10.09.49.04.htm 10.09.49.04. 04 Service Model.. A. Telehealth improves access to distant site providers.. B. Telehealth providers may be part of a private practice, hospital, or other health care system.. C. Medical Assistance-registered originating site providers shall engage in agreements with registered distant site providers for telehealth services.D. Professional services rendered via telehealth are reimbursed on a fee-for-service basis..
10.09.49.05.htm 10.09.49.05. 05 Covered Services.. Under the Telehealth Program, the Department shall cover:. A. Medically necessary services covered by the Maryland Medical Assistance Program rendered by a registered distant site provider that shall be:1) Distinct from services provided by the originating site provider; and. 2) Able to be delivered using technology-assisted communication; and. B. The transmission fee paid to a registered originating site, except when the originating site is n
10.09.49.06.htm 10.09.49.06. 06 Participant Eligibility.. A participant is eligible to receive telehealth services if the individual:. A. Is enrolled in the Maryland Medical Assistance Program on the date the service is rendered;. B. Consents to telehealth services unless there is an emergency that prevents obtaining consent, which the originating site shall document in the participant’s medical record;C. Is present at the originating site at the time the telehealth service is rendered; and.
10.09.49.07.htm 10.09.49.07. 07 Provider Conditions for Participation.. A. To participate in the Program, the provider shall:. 1) Except when the originating site is not a Medicaid payable provider, be enrolled as a Medical Assistance Program provider on the date of the service is rendered;2) Except when the originating site is not a Medicaid payable provider, meet the requirements for participation in the Medical Assistance Program as set forth in:a) COMAR 10.09.36.02;. b) COMAR 10.09.36.03; and.
10.09.49.08.htm 10.09.49.08. 08 Technical Requirements.. A. A provider of health care services delivered through telehealth shall adopt and implement technology in a manner that supports the standard of care to deliver the required service.B. A provider of health services delivered through telehealth shall, at a minimum, meet the following technology requirements:1) A camera that has the ability to manually or under remote control provide multiple views of a patient with the capability of altering the resolutio
10.09.49.09.htm 10.09.49.09. 09 Confidentiality.. The originating and distant site providers:. A. Shall comply with the laws and regulations concerning the privacy and security of protected health information under:1) Health-General Article, Title 4, Subtitle 3, Annotated Code of Maryland; and. 2) The Health Insurance Portability and Accountability Act of 1996 (HIPAA) 42 U.S.C. §1320d et seq. as amended, the HITECH Act, 42 U.S.C. §17932, et seq. as amended, and 45 CFR Parts 160 and 164, as amended;
10.09.49.10.htm 10.09.49.10. 10 Limitations.. A. A service provided through telehealth is subject to the same program restrictions, preauthorizations, limitations, and coverage that exist for the service when provided in person.B. A telehealth service does not include:. 1) An audio-only telephone conversation between a health care provider and a patient;. 2) An electronic mail message between a health care provider and a patient;. 3) A facsimile transmission between a health care provider and a patient; or.
10.09.49.11.htm 10.09.49.11. 11 Reimbursement.. A. To receive reimbursement for telehealth services, a provider shall:. 1) Be actively enrolled with Maryland Medical Assistance; and. 2) Participate with a telehealth partner that meets provider conditions for participation as set forth in Regulation .07 of this chapter.B. There are two categories of fees that the Department shall reimburse a registered telehealth provider, as applicable:1) Originating site transmission fee; and.
10.09.49.9999.htm 10.09.49.9999. Administrative History Effective date: September 30, 2013 (40:19 Md. R. 1546). Regulation .01 amended effective October 26, 2015 (42:21 Md. R. 1300). Regulation .01A amended effective December 22, 2014 (41:25 Md. R. 1479). Regulation .02B amended effective April 28, 2014 (41:8 Md. R. 471) December 22, 2014 (41:25 Md. R. 1479) October 26, 2015 (42:21 Md. R. 1300) April 11, 2016 (43:7 Md. R. 449)Regulation .03 amended effective December 22, 2014 (41:25 Md. R. 1479) Octo
<< Back | Return to Main COMAR Search Page