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10.09.85.00.htm 10.09.85.00. Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 09 MEDICAL CARE PROGRAMS Chapter 85 Free-Standing Birth Centers Authority: Health-General Article, §2-104(b) 15-103, and 15-105, Annotated Code of Maryland
10.09.85.01.htm 10.09.85.01. 01 Definitions.. A. The following terms have the meanings indicated.. B. Terms Defined.. 1) "Certified nurse midwife (CNM) means a registered nurse who is certified by the American College of Nurse-Midwives, and is licensed in the state in which the service is provided.2) “Commission for the Accreditation of Birth Centers (CABC) means the independent authority that accredits developing and existing birth centers in the United States of America, according to establis
10.09.85.02.htm 10.09.85.02. 02 License Requirements.. A. A free-standing birth center shall be certified by the Commission for the Accreditation of Birth Centers, and:1) Be licensed to operate in Maryland pursuant to Health General Article 19, Subtitle 3b, Annotated Code of Maryland and in accordance with the requirements as set forth in COMAR 10.05.02; or2) If located out-of-State, comply with the regulations of the jurisdiction in which the free-standing birth center is located.B. The free-standing birt
10.09.85.03.htm 10.09.85.03. 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.B. Specific requirements for participation in the Program as a free-standing birth center require that the provider:1) Verify the licenses and credentials of all clinical professionals employed by or under contract with the free-standing birth center as set forth in COMAR 10.05.02.04.
10.09.85.04.htm 10.09.85.04. 04 Covered Services.. The Program covers the facility-related services provided by the free-standing birth center for the care of the delivering mother and newborn, and covers the cost of;A. Support staff;. B. The use of the free-standing birth center; and. C. Supplies, linens, and equipment..
10.09.85.05.htm 10.09.85.05. 05 Limitations.. A. The Program does not cover laboratory or x-ray services performed by another facility. The facility performing these services shall bill the Program directly.B. Professional services are to be billed separately from the free-standing birth center facility fee.
10.09.85.06.htm 10.09.85.06. 06 Payment Procedures.. A. The Program will reimburse free-standing birth centers for:. 1) A facility fee of $2,000 for the care of the delivering mother and delivery of the newborn, if the delivery takes place at the facility; and2) A facility fee of $500 for the care of the newborn.. B. If the mother is transferred to a hospital prior to delivering the newborn, the Department will reimburse as follows:1) If the mother was at the birth center for less than 2 hours, before the
10.09.85.07.htm 10.09.85.07. 07 Recovery and Reimbursement.. A. If the recipient has insurance or if any other person is obligated either legally or contractually to pay for or to reimburse for any service covered by this chapter, the provider shall seek payment from that source first. If an insurance carrier rejects the claim or pays less than the amount allowed by the Medical Assistance Program, the provider may submit a claim to the Department. The provider shall submit a copy of the insurance carrier’s
10.09.85.08.htm 10.09.85.08. 08 Cause for Suspension or Removal and Imposition of Sanctions. Causes for suspension or removal and imposition of sanctions shall be as set forth in COMAR 10.09.36.08
10.09.85.09.htm 10.09.85.09. 09 Appeals Procedures.. Appeal procedures are as set forth in COMAR 10.09.36.09..
10.09.85.10.htm 10.09.85.10. 10 Interpretive Regulation.. General policies governing the interpretive regulations that are applicable to all providers are set forth in COMAR 10.09.36.10.
10.09.85.9999.tx.htm 10.09.85.9999. Administrative History Effective date: May 1, 2014 (41:8 Md. R. 471).
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