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10.18.01.00.htm 10.18.01.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 18 HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION AND ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) Chapter 01 Maryland AIDS Drug Assistance Program: Temporary Assistance Program Authority: Health-General Article, §2-104(b) 2-104(j) 2-105(a) and 18-102(a) Annotated Code of Maryland
10.18.01.01.htm 10.18.01.01. 01 Purpose.. The purpose of the Maryland AIDS Drug Assistance Program’s Temporary Assistance Program is to provide short term assistance to individuals with Human Immunodeficiency Virus (HIV) who:A. Need HIV drugs and other products;. B. Have an application for Medical Assistance or Low-Income Subsidy pending; and. C. Are considered likely to have their application approved..
10.18.01.02.htm 10.18.01.02. 02 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) “Acquired Immunodeficiency Syndrome (AIDS) means the medical condition caused by the Human Immunodeficiency Virus.2) “Agent” means a case manager, licensed social worker, registered nurse, or any other related professional that assists an individual in submitting an application to the Temporary Assistance Program.3) “Applicant” means an individual on whose behalf
10.18.01.03.htm 10.18.01.03. 03 Eligibility.. To be eligible for benefits, an individual shall meet the following criteria:. A. Be a resident of Maryland;. B. Be infected with HIV; and. C. Have a pending application to Medical Assistance or LIS..
10.18.01.04.htm 10.18.01.04. 04 Application and Enrollment.. A. Application.. 1) The agent of the applicant shall submit a completed TAP application to the Department on the form designated by the Department that includes:a) Responses to all applicable questions; and. b) A copy of the completed application or other verifiable documentation for Medical Assistance or LIS enrollment.2) The agent of the applicant or the applicant may voluntarily withdraw the application at any time without prejudice.
10.18.01.05.htm 10.18.01.05. 05 Covered Services.. A. The recipient shall obtain a prescription for each drug or other product ordered for the recipient.B. TAP shall pay for each prescription drug or other product within the limits established by the Department on the formulary if the prescription is ordered and signed by a health care practitioner for a recipient.
10.18.01.06.htm 10.18.01.06. 06 Recovery of Payments.. If benefits have been incorrectly paid or another payer has been identified, the Department shall seek recovery of the amount of those payments.
10.18.01.07.htm 10.18.01.07. 07 Fraud.. The Department shall pursue cases of suspected misrepresentation or fraud pursuant to Criminal Law Article, §8-503, Annotated Code of Maryland, or any other applicable statutory provision.
10.18.01.08.htm 10.18.01.08. 08 Confidentiality.. Except when communicating with the parties listed in §B of this regulation and unless otherwise authorized by law, the agent of an applicant, or the agent of a recipient, the Department:A. Shall keep all applicant and recipient personal information confidential;. B. May not disclose personal information kept on an applicant or recipient without written consent of the:1) Applicant;. 2) Recipient;. 3) Applicant’s parent or legal guardian; or.
10.18.01.09.htm 10.18.01.09. 09 Availability of Funding and Program Termination.. A. If sufficient monies are not available to fund TAP, the Department shall take the action necessary to eliminate a deficit which may include program termination.B. If TAP is terminated, the Department shall provide benefits for each current recipient in accordance with Regulation .04B of this chapter.
10.18.01.9999.htm 10.08.01.9999. Administrative History Effective date: March 28, 2016 (43:6 Md. R. 408).
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