COMAR 10.09.58.06. Limitations

A. The following services are not covered:

(1) Services not medically necessary;

(2) Transportation services;

(3) EPSDT services;

(4) Services delivered in an in-patient hospital setting or ambulatory surgical center other than:

(a) Permanent sterilizations; and

(b) A hysterosalpingogram following the Essure procedure;

(5) Infertility services, including reversal of sterilization; and

(6) Any service not listed in Regulation .05 of this chapter .

B. Limitations for advanced practice nurse services covered under this chapter are those set forth in COMAR 10.09.01.05 .

C. Limitations for physician services covered under this chapter are those set forth in COMAR 10.09.02.05 .

D. Limitations for free-standing clinic services covered under this chapter are those set forth in COMAR 10.09.08.07 .

E. Limitations for pharmacy services covered under this chapter are those set forth in COMAR 10.09.03.05 .

F. Limitations for medical laboratory services covered under this chapter are those set forth in COMAR 10.09.09.05 .

G. Limitations for acute hospital services covered under this chapter are those set forth in COMAR 10.09.92.05 .

H. Limitations for physician assistant services covered under this chapter are those set forth in COMAR 10.09.55.05 .

I. Limitations for ambulatory surgery centers covered under this chapter are those set forth in COMAR 10.09.42.05 .