COMAR 10.09.06.07. Limitations

The Program does not cover the following in a residential substance use disorder treatment facility for adults:

A. Services not medically necessary;

B. ASAM Level 2 services by any provider;

C. Except for services rendered to individuals in a residential, low-intensity program, ASAM Level 1 services by any provider;

D. Services not specified in Regulation .06 of this chapter ;

E. Services beyond the provider’s scope of practice;

F. Investigational and experimental drugs and procedures;

G. Services rendered but not appropriately documented; and

H. Services not preauthorized as required in Regulation .08 of this chapter .

I. Additional services rendered via telehealth when telehealth services comprise more than 50 percent of a participant's weekly clinical services.