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10.09.68.00.htm 10.09.68.00. Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 09 MEDICAL CARE PROGRAMS Chapter 68 Maryland Medicaid Managed Care Program: School-Based Health Centers Authority: Health-General Article, §15-103(b)19)i) Annotated Code of Maryland
10.09.68.01.htm 10.09.68.01. 01 Applicability.. A. Effective August 1, 2009, this chapter governs the delivery of health care services by the school-based health center in the absence of any contractual relationship with the MCO.B. This chapter does not prohibit the school-based health center from subcontracting with an MCO to join its provider network.
10.09.68.02.htm 10.09.68.02. 02 Designation as a School-Based Health Center.. A. On application to the Department, a provider that is located on school grounds may be designated as a school-based health center if it demonstrates that it meets the following criteria:1) Complies with the general requirements for participation as a free-standing clinic set forth in COMAR 10.09.08.03;2) Complies with the general conditions of participation for Medical Assistance providers set forth in COMAR 10.09.36.03;
10.09.68.03.htm 10.09.68.03. 03 Conditions for Reimbursement for Self-Referred Services.. A. A school-based health center, designated by the Department as meeting the criteria specified in Regulation .01 of this chapter, is eligible for reimbursement by the student's MCO for the following self-referred services:1) Comprehensive well-child care when performed by EPSDT certified providers and rendered according to EPSDT standards;2) Follow-up of positive or abnormal EPSDT screening components without app
10.09.68.9999.htm 10.09.68.9999. Administrative History Effective date:. Regulations .01―03 adopted as an emergency provision effective November 8, 1996 (23:25 Md. R. 1730) adopted permanently effective March 10, 1997 (24:5 Md. R. 408)Regulation .01A amended effective January 25, 2010 (37:2 Md. R. 67). Regulation .02A amended as an emergency provision effective January 5, 2005 (32:6 Md. R. 634) amended permanently effective April 11, 2005 (32:7 Md. R. 679)
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