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10.09.50.00.htm 10.09.50.00. Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 09 MEDICAL CARE PROGRAMS Chapter 50 EPSDT School Health-Related Services or Health-Related Early Intervention Services Authority: Health-General Article, §2-104(b) 15-103, and 15-124, Annotated Code of Maryland
10.09.50.01.htm 10.09.50.01. 01 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) “Audiological evaluation” means identification, evaluation, and treatment of auditory impairments necessary to develop and implement an IFSP or an IEP pursuant to COMAR 13A.13.01.03B and 13A.05.01.03B.2) “Audiologist” means an individual licensed by the Board of Examiners for Audiologists, Hearing Aid Dispensers, and Speech Language Pathologists to practice audiology in Mar
10.09.50.02.htm 10.09.50.02. 02 Licensure and Certification.. A. A provider shall ensure that the provider's employees who render school health-related services meet the licensure and certification requirements for their profession, as specified in §B of this regulation.B. A professional employed by a provider shall have the following qualifications:. 1) An audiologist shall be licensed to practice in the jurisdiction in which services are provided;. 2) A professional counselor shall be licensed to p
10.09.50.03.htm 10.09.50.03. 03 Conditions for Participation.. A. General requirements for participation in EPSDT school health-related or health-related early intervention services are that a:1) Provider shall:. a) Meet all the requirements for participation in the Program as set forth in COMAR 10.09.36.03; and. b) Collaborate in the provision of covered services with local health departments in accordance with Education Article, §7-401, Annotated Code of Maryland; and2) Therapeutic behavior aide shall be:.
10.09.50.04.htm 10.09.50.04. 04 Covered Services.. A. The Program covers the services listed in §B of this regulation when the services are:. 1) Necessary to identify the need for a health-related service or health-related early intervention service that may be furnished as part of an IEP or an IFSP;2) Necessary to:. a) Prevent disease, disability, and other health conditions or their progression; and. b) Promote physical and mental health and efficiency;. 3) Necessary for the maximum reduction of physical
10.09.50.05.htm 10.09.50.05. 05 Limitations.. A. To participate in the Program as a provider of health-related services or health-related early intervention services, the provider shall be a local school system, a local lead agency, a State-operated education agency, or State-supported education agency.B. Health-related services or health-related early intervention services outlined in the IEP or the IFSP shall be approved by the IEP or IFSP team for continued treatment.
10.09.50.06.htm 10.09.50.06. 06 Preauthorization.. Therapeutic behavior services shall be preauthorized through the IEP or IFSP process..
10.09.50.07.htm 10.09.50.07. 07 Payment Procedures.. A. Request for Payment.. 1) An approved provider shall submit a request for payment of services rendered and completed under this chapter as set forth in COMAR 10.09.36.04. The Department reserves the right to return to the provider, before payment, all payment requests not properly prepared or submitted.2) A provider shall submit a request for payment as set forth in COMAR 10.09.36.04A. The completed form shall indicate the:a) Date or dates of service;.
10.09.50.08.htm 10.09.50.08. 08 Recovery and Reimbursement.. Recovery and reimbursement is as set forth in COMAR 10.09.36.07..
10.09.50.09.htm 10.09.50.09. 09 Cause for Suspension or Removal and Imposition of Sanctions.. Cause for suspension or removal and imposition of sanctions is as set forth in COMAR 10.09.36.08..
10.09.50.10.htm 10.09.50.10. 10 Appeal Procedures.. Appeal procedures are set forth in COMAR 10.09.36.09..
10.09.50.11.htm 10.09.50.11. 11 Interpretive Regulation.. Interpretive regulations are set forth in COMAR 10.09.36.10..
10.09.50.9999.htm 10.09.50.9999. Administrative History Effective date:. Regulations .01―10 adopted as an emergency provision effective February 2, 1993 (20:4 Md. R. 369) adopted permanently effective June 1, 1993 (20:10 Md. R. 852)Regulations .01―04 and .06 amended as an emergency provision effective September 19, 1997 (24:21 Md. R. 1445) amended permanently effective December 29, 1997 (24:26 Md. R. 1759)Regulations .01, .02, .04, and .05 amended effective June 25, 2001 (28:12 Md. R. 1106).
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