Md. Code Regs. 10.09.46.10

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

Section 10.09.46.10 - Conditions for Reimbursement

The Department shall reimburse for services covered under this chapter if the services are:

A. Provided to a participant who meets the qualifications for eligibility specified in Regulations .02 and .03 of this chapter;

B. Preauthorized in the participant's waiver plan of care by the BHA, as being reasonable and medically necessary to prevent institutionalization;

C. Provided by an approved provider which meets the conditions for participation in Regulations .05 and .06 of this chapter; and

D. Rendered pursuant to:

(1) The relevant definition of covered services in Regulation .01 of this chapter;

(2) All other requirements specified in this chapter and COMAR 10.09.36; and

(3) The waiver proposal and any amendments to it approved by the Secretary of the U.S. Department of Health and Human Services.

Md. Code Regs. 10.09.46.10

Regulations .10 adopted as an emergency provision effective July 1, 2003 (30:14 Md. R. 933); adopted permanently effective December 11, 2003 (30:24 Md. R. 1740); amended effective 47:10 Md. R. 516, eff. 5/18/2020