Md. Code Regs. 10.09.31.05

Current through Register Vol. 51, No. 25, December 13, 2024

Section 10.09.31.05 - Limitations

Under this chapter, the Program does not cover:

A. Services not rendered in response to a 911 call unless delivered as part of a mobile integrated health visit;

B. Services performed or billed by an emergency services transporter that is not enrolled in the Program;

C. Services rendered by an emergency services transporter in response to a 911 call when the participant refuses medical services and transport of the participant does not occur;

D. Services rendered to anyone other than an eligible participant;

E. Services for which proper documentation, including but not limited to run sheets, cannot be provided on request of the Department or its designee;

F. Services not indicated by the medical protocols adopted by the EMS Board;

G. Mobile integrated health services delivered to participants younger than 18 years old; and

H. Services delivered in any setting other than the eligible participant's home or any community-based site permitted under the medical protocols adopted by the EMS Board.

Md. Code Regs. 10.09.31.05

Regulation .05 amended effective 50:8 Md. R. 337, eff. 5/1/2023