Md. Code Regs. 10.09.20.12

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.09.20.12 - Conditions for Reimbursement

The Program shall reimburse for the services specified in Regulations .09-.11 of this chapter, if provided in accordance with the requirements of this chapter, and if the service:

A. Is recommended on the participant's plan of service as necessary to assure the health and safety of an applicant or participant in the community;

B. Has been preauthorized by the Department in the participant's plan of service;

C. Is provided to an enrolled participant;

D. Is medically necessary; and

E. Is provided by a Medicaid provider who meets the conditions for participation under this chapter.

Md. Code Regs. 10.09.20.12

Regulation .12 adopted effective 43:5 Md. R. 385, eff.3/14/2016