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10.09.78.00.htm 10.09.78.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 09 MEDICAL CARE PROGRAMS Chapter 78 Home Visiting Services Authority: Health-General Article, §2-104(b) 15-103, and 15-105, Annotated Code of Maryland
10.09.78.01.htm 10.09.78.01. 01 Definitions.. A. The following terms have the meanings indicated.. B. Terms Defined.. 1) “Department” means the Maryland Department of Health, the single State agency designated to administer the Maryland Medical Assistance Program under Title XIX of the Social Security Act, 42 U.S.C. §1396 et seq.2) “Evidence-based home visiting model” means a voluntary early childhood strategy program that includes focused, individualized, and culturally competent services for expecta
10.09.78.02.htm 10.09.78.02. 02 Certification Requirements.. The home visiting program provider shall have an active accreditation status from one of the following evidence-based home visiting models:A. Healthy Families America (HFA) or. B. Nurse Family Partnership (NFP).
10.09.78.03.htm 10.09.78.03. 03 Conditions for Participation.. A. General requirements for participation in the Program are that a provider shall meet all conditions for participation as set forth in COMAR 10.09.36.03; andB. Specific requirements for participation in the home visiting program are that the provider shall provide proof of accreditation by one of the following evidence-based home visiting models:1) Healthy Families America (HFA) or. 2) Nurse Family Partnership (NFP).
10.09.78.04.htm 10.09.78.04. 04 Covered Services.. The Program covers home visiting services rendered in the program participant’s home when the services:A. Are rendered during the birthing parent’s prenatal period and postpartum periods; and. B. If not rendered in person, comply with the telehealth requirements established in COMAR 10.09.49 and any subregulatory guidance issued by the Department.
10.09.78.05.htm 10.09.78.05. 05 Limitations.. The Program does not cover:. A. Expenses including:. 1) Administrative overhead;. 2) Lactation consulting services; and. 3) Program start-up costs for evidence-based model accreditation, initial training, or consultation; orB. Services that are not medically necessary..
10.09.78.06.htm 10.09.78.06. 06 Payment Procedures.. A. The provider shall submit the request for payment in the format designated by the Department.. B. The Program reserves the right to return to the provider, before payment, all invoices not properly signed, completed, and accompanied by properly completed forms required by the Program.C. The provider shall charge the Program the provider’s customary charge to the general public for similar services.
10.09.78.07.htm 10.09.78.07. 07 Recovery and Reimbursement.. Recovery and reimbursement regulations are set forth in COMAR 10.09.36.07..
10.09.78.08.htm 10.09.78.08. 08 Cause for Suspension or Removal and Imposition of Sanctions.. Cause for suspension or removal and imposition of sanctions are set forth in COMAR 10.09.36.08..
10.09.78.09.htm 10.09.78.09. 09 Appeal Procedures.. Providers filing appeals from administrative decisions made in connection with this chapter shall do so according to COMAR 10.09.36.09
10.09.78.9999.htm 10.09.78.9999. Administrative History Effective date: January 13, 2022 (49:1 Md. R. 13).
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