Md. Code Regs. 10.09.96.09

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

Section 10.09.96.09 - Payment Methodology

A. After providing the services outlined in Regulation .06 of this chapter, the remote patient monitoring provider shall submit the request for payment using the format designated by the Department.

B. Home health agencies shall:

(1) Bill on a UB04; and

(2) Be paid a monthly rate.

C. Physicians, nurse practitioners, and physician assistants who provide remote patient monitoring shall:

(1) Bill using a CMS 1500 or an 837P; and

(2) Be paid a monthly rate.

D. Professionals following up on abnormal results from remote patient monitoring shall be paid the lesser of:

(1) Provider's customary charge unless the service is free to individuals not covered by Medicaid; or

(2) The Department's professional fee schedule as found in COMAR 10.09.02.07.

Md. Code Regs. 10.09.96.09

Regulation .09 adopted effective 44:26 Md. R. 1215, eff. 1/1/2018