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10.09.55.00.htm 10.09.55.00. Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 09 MEDICAL CARE PROGRAMS Chapter 55 Physician Assistants Authority: Health-General Article, §2-104(b) 15-103, and 15-105, Annotated Code of Maryland
10.09.55.01.htm 10.09.55.01. 01 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) "Advanced duties" means medical acts that require training and certification beyond the basic physician assistant education program.2) "Board" means the State Board of Physicians.. 3) "Delegation agreement" means a document that is executed by a licensed physician and a physician assistant containing the requirements of Health Occupation Article, §15-302
10.09.55.02.htm 10.09.55.02. 02 License and Certification Requirements.. A. The provider shall meet all license requirements as set forth in COMAR 10.09.36.02.. B. A physician assistant applying for provider status shall:. 1) Be licensed to practice as a physician assistant in Maryland or in the state or jurisdiction in which the service is provided;2) Be in compliance with requirements set forth in COMAR 10.32.03;. 3) If practicing in Maryland, have a delegation agreement with a supervisin
10.09.55.03.htm 10.09.55.03. 03 Conditions for Participation.. A. A physician assistant shall meet all conditions for participation as set forth in COMAR 10.09.36.03.B. A physician assistant shall:. 1) Have a written and executed delegation agreement with a licensed physician approved by the Board, or as required by the state in which services are provided; and2) If the primary supervising physician delegates the prescribing of controlled dangerous substances to a physician assistant, if required by applicab
10.09.55.04.htm 10.09.55.04. 04 Covered Services.. A. The Program covers medically necessary services rendered to participants in accordance with:. 1) The functions allowed under:. a) The Physician Assistant’s Practice Act;. b) COMAR 10.32.03; and. c) The physician assistant’s written delegation agreement with a physician; or. 2) If out-of-State, those functions authorized in the state in which the services are provided.. B. The services in §A of this regulation shall be described in the particip
10.09.55.05.htm 10.09.55.05. 05 Limitations.. The Program does not cover the following under these regulations:. A. Services not encompassed by the physician assistant’s written delegation agreement with the physician, if required by the state in which services are provided;B. Services not medically necessary;. C. Services prohibited by the Board;. D. Services prohibited in the state in which services are provided;. E. Physician assistant services included as part of the cost of an inpatien
10.09.55.06.htm 10.09.55.06. 06 Payment Procedures.. A. The provider shall submit the request for payment in the format designated by the Department.. B. The Department reserves the right to return to the provider, before payment, all invoices not properly signed, completed, and accompanied by any properly completed forms required by the Department.C. The provider shall charge the Program the provider’s customary charge to the general public for similar services and charge the provider’s acquisit
10.09.55.07.htm 10.09.55.07. 07 Recovery and Reimbursement.. Recovery and reimbursement are as set forth in COMAR 10.09.36.07..
10.09.55.08.htm 10.09.55.08. 08 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..
10.09.55.09.htm 10.09.55.09. 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.
10.09.55.10.htm 10.09.55.10. 10 Interpretive Regulation.. State regulations shall be interpreted in conformity with COMAR 10.09.36.10..
10.09.55.9999.htm 10.09.55.9999. Administrative History Effective date: May 11, 2015 (42:9 Md. R. 647). Regulation .06 amended effective September 26, 2016 (43:19 Md. R. 1072).
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