# COMAR 10.09.18.05: COMAR 10.09.18.05. Limitations

> Maryland · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_18_05

## Section

- **Citation:** COMAR 10.09.18.05
- **Heading:** COMAR 10.09.18.05. Limitations
- **Jurisdiction:** Maryland
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Code of Maryland Regulations / Title 10 MARYLAND DEPARTMENT OF HEALTH / Subtitle 09 MEDICAL CARE PROGRAMS / Chapter 18 Oxygen and Related Respiratory Equipment Services / COMAR 10.09.18.05

## Text

A. The Program does not cover:
(1) Any service or items not identified in Regulation .04 of this chapter ;
(2) Demurrage;
(3) Charges for delivery;
(4) Equipment prescribed primarily to provide comfort or convenience, including, but not limited to, air conditioners and room humidifiers;
(5) Items which are investigational or experimental in nature;
(6) Oxygen and related equipment not for pulmonary use;
(7) Pre-set oxygen for emergency use;
(8) Trach string or tape.
B. The Program places the following limitations upon covered services:
(1) Reimbursement for aerosol equipment will only be provided if a hand held nebulizer has been tried and is not successful, as indicated in the clinical summary;
(2) Reimbursement for IPPB machine will only be authorized if the aerosol compressor with the nebulizer kit has been tried and is not successful, as indicated in the clinical summary;
(3) Reimbursement may not be made for:
(a) Repairs or replacement parts for rented items;
(b) Oxygen prescribed on an as-needed basis (PRN);
(c) Oxygen prescribed for stand-by purposes;
(d) Piped-in oxygen;
(e) Oxygen and related respiratory equipment and services provided in a facility or by a group when reimbursement is covered by another segment of the Program; and
(4) Payment for portable oxygen will be made only when:
(a) It is required in the pursuit of medical treatment; and
(b) The medical necessity is indicated for this type of system.

## Nearby sections

- [COMAR 10.09.18.01 COMAR 10.09.18.01. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_18_01.md)
- [COMAR 10.09.18.03 COMAR 10.09.18.03. Conditions for Participation](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_18_03.md)
- [COMAR 10.09.18.04 COMAR 10.09.18.04. Covered Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_18_04.md)
- [COMAR 10.09.18.05 COMAR 10.09.18.05. Limitations](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_18_05.md)
- [COMAR 10.09.18.06 COMAR 10.09.18.06. Prepayment Authorization Requirements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_18_06.md)
- [COMAR 10.09.18.07 COMAR 10.09.18.07. Payment Procedures](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_18_07.md)
- [COMAR 10.09.18.08 COMAR 10.09.18.08. Recovery and Reimbursement](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_18_08.md)
- [COMAR 10.09.18.09 COMAR 10.09.18.09. Cause for Suspension or Removal and Imposition of Sanctions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_18_09.md)
- [COMAR 10.09.18.10 COMAR 10.09.18.10. Appeal Procedures](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_18_10.md)
- [COMAR 10.09.18.11 COMAR 10.09.18.11. Interpretive Regulation](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_18_11.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_18_05. Check the current official text before relying on it. Not legal advice.