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

13 records match your request.

FileAbstract
10.09.53.00.htm 10.09.53.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 09 MEDICAL CARE PROGRAMS Chapter 53 Early and Periodic Screening, Diagnosis, and Treatment: Nursing Services for Individuals Younger than 21 Years Old Authority: Health-General Article, §2-104(b) 15-103, and 15-105, Annotated Code of Maryland
10.09.53.01.htm 10.09.53.01. 01 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) "Caregiver" means a willing and able individual who is trained in providing care to the participant.2) “Certified medication technician (CMT) means an individual, regardless of title, who:. a) Completes a 20-hour course in medication administration approved by the Maryland Board of Nursing;b) Is certified by the Board under COMAR 10.39.04; and.
10.09.53.02.htm 10.09.53.02. 02 Licensing Requirements.. A. Nurses rendering or supervising the provision of private duty nursing services shall be licensed in accordance with licensing requirements specified in COMAR 10.09.36.02.B. An agency providing services pursuant to this chapter shall meet all applicable licensure and certification requirements of the jurisdiction in which the agency is providing services.
10.09.53.03.htm 10.09.53.03. 03 Conditions for Participation.. Requirements for participation for nursing services are that a provider shall:. A. Meet the general Medical Assistance provider requirements as specified in COMAR 10.09.36.03;. B. Be licensed as a:. 1) Residential service agency under COMAR 10.07.05; or. 2) Home health agency under COMAR 10.07.10;. C. Have on staff at least one registered nurse supervisor who:. 1) Provides and documents initial direction to the participant's caregivers
10.09.53.04.htm 10.09.53.04. 04 Covered Services.. A. The Program shall cover services rendered by a nurse, CNA, or HHA when the:. 1) Services are ordered by the participant’s primary medical provider and renewed every 60 days after that;2) Services are directly related to the plan of care;. 3) Services are described in the nursing care plan and progress notes;. 4) Services are of a scope that is more individual and continuous than what is available under the home health program;5) Services are delivered
10.09.53.05.htm 10.09.53.05. 05 Limitations.. A. Under this chapter, the Program does not cover the following:. 1) Home health services that are covered under COMAR 10.09.04;. 2) Services rendered by a nurse, CNA, or HHA who is a member of the participant’s immediate family or who ordinarily resides with the participant;3) Custodial services;. 4) Services not deemed medically necessary at the initial assessment or the most recent plan of care review;5) Services delivered by a nurse, CNA, or HHA who
10.09.53.06.htm 10.09.53.06. 06 Preauthorization Requirements.. A. The Department or the Department's designee shall preauthorize nursing services, according to medical necessity, frequency, and duration, as a prerequisite to payment beyond the initial assessment.B. Preauthorization is issued when:. 1) Program procedures are met;. 2) Program limitations are met;. 3) The requirements specified in this chapter are met; and.
10.09.53.07.htm 10.09.53.07. 07 Payment Procedures.. A. Payment procedures are as set forth in COMAR 10.09.36.04 and .06.. B. The following rates are effective July 1, 2016:. 1) A flat rate of $150 for the initial assessment of up to 3 hours, if this is not covered by another Medical Assistance or insurance program;2) $12.91 for 15 minutes of services provided by a registered nurse to one participant;. 3) $8.91 for 15 minutes of services provided by a registered nurse to each of two or more participan
10.09.53.08.htm 10.09.53.08. 08 Recovery and Reimbursement.. Recovery and reimbursement are those set forth in COMAR 10.09.36.07..
10.09.53.09.htm 10.09.53.09. 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..
10.09.53.10.htm 10.09.53.10. 10 Appeal Procedures.. Appeal procedures are those set forth in COMAR 10.09.36.09..
10.09.53.11.htm 10.09.53.11. 11 Interpretive Regulation.. State regulations are interpreted as set forth in COMAR 10.09.36.10..
10.09.53.9999.htm 10.09.53.9999. Administrative History Effective date:. Regulations .01―11 adopted as an emergency provision effective May 5, 1993 (20:11 Md. R. 911) adopted permanently effective August 2, 1993 (20:15 Md. R. 1220)Regulations .01, .03―07 amended as an emergency provision effective June 1, 1994 (21:13 Md. R. 1152) amended permanently effective September 26, 1994 (21:19 Md. R. 1635)Regulations .01 and .03―06 amended as an emergency provision effective January 1, 1997 (23:26 Md. R.
<< Back | Return to Main COMAR Search Page