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

13 records match your request.

FileAbstract
10.09.88.00.htm 10.09.88.00. Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 09 MEDICAL CARE PROGRAMS Chapter 88 Portable X-ray Providers Authority: Health-General Article, §2-104(b) 15-103, and 15-105, Annotated Code of Maryland
10.09.88.01.htm 10.09.88.01. 01 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) “CMS” means Centers for Medicare and Medicaid Services.. 2) “Department” means the Maryland Department of Health and Mental Hygiene.. 3) “Mammography” means the radiographic examination of the soft tissues of the breast.. 4) “Medical Assistance Program” means the program of comprehensive medical and other health-related care for indigent and medically indigent persons.
10.09.88.02.htm 10.09.88.02. 02 License Requirements.. A. Providers of Medical Assistance Program services shall, to the extent required by law, be licensed and legally authorized to practice or deliver services in the state in which the service is provided.B. The provider and the equipment personnel shall be licensed or registered in accordance with applicable federal, State and local laws in accordance with 42 CFR §486.100.C. The portable X-ray provider shall be certified and registered by the Dep
10.09.88.03.htm 10.09.88.03. 03 Conditions for Participation.. A. A provider shall meet all conditions for participation as set forth in COMAR 10.09.36.03.. B. The provider shall also:. 1) Be certified by CMS to furnish portable X-ray services;. 2) Meet the licensure requirements as provided in Regulation .02 of this chapter;. 3) Meet performance standards in accordance with 42 CFR §410.33(g). 4) Ensure that portable X-ray services are rendered under the supervision of a qualified physician i
10.09.88.04.htm 10.09.88.04. 04 Covered Services.. A. The Program covers medically necessary services rendered to recipients, when the services are:. 1) Provided according to the laws and regulations of the State and locality in which they are rendered in accordance with 42 CFR §486.100;2) Rendered by a physician who meets the qualification standards in accordance with 42 CFR §486.102 or qualified non-physician (technician) who meets the qualification standards in accordance to 42 CFR §486.104; and
10.09.88.05.htm 10.09.88.05. 05 Limitations.. The Program does not cover the following:. A. Services for which the portable X-ray provider cannot provide a properly completed order identifying by name, the authorized ordering physician, or practitioner;B. Services not adequately documented in the recipient’s medical record;. C. Services not medically necessary;. D. Procedures that are known by the provider as investigational or experimental in nature;.
10.09.88.06.htm 10.09.88.06. 06 Preauthorization Requirements. Reserved..
10.09.88.07.htm 10.09.88.07. 07 Payment Procedures.. A. General policies for payment that are applicable to all providers are set forth in COMAR 10.09.36.04.B. The Department shall allow a single transportation payment for each trip the portable X-ray provider makes to a particular location.C. The Department shall reimburse for covered services at the lesser of:. 1) The provider’s customary charge unless the service is free to individuals not covered by Medicaid; or2) The Department’s fee schedule..
10.09.88.08.htm 10.09.88.08. 08 Recovery and Reimbursement.. General policies governing recovery and reimbursement procedures that are applicable to all providers are set forth in COMAR 10.09.36.07
10.09.88.09.htm 10.09.88.09. 09 Cause for Suspension or Removal and Imposition of Sanctions.. General policies governing the cause for suspension and removal and imposition of sanctions procedures that are applicable to all providers are set forth in COMAR 10.09.36.08.
10.09.88.10.htm 10.09.88.10. 10 Appeal Procedures.. General policies governing appeal procedures that are applicable to all providers are set forth in COMAR 10.09.36.09.
10.09.88.9999.htm 10.09.88.9999. Administrative History Effective date: April 28, 2014 (41:8 Md. R. 472). Regulation .07C, I amended effective July 4, 2016 (43:13 Md. R. 712). Regulation .07D amended effective February 27, 2017 (44:4 Md. R. 252).
10.09.88.9999.tx.htm 10.09.88.9999. Administrative History Effective date: April 28, 2014 (41:8 Md. R. 472). Regulation .07C, I amended effective July 4, 2016 (43:13 Md. R. 712).
<< Back | Return to Main COMAR Search Page