COMAR 10.09.69.09. Covered Services — General Requirements

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Code of Maryland Regulations › Title 10 MARYLAND DEPARTMENT OF HEALTH › Subtitle 09 MEDICAL CARE PROGRAMS › Chapter 69 Maryland Medicaid Managed Care Program: Rare and Expensive Case Management › COMAR 10.09.69.09

This text was captured on Aug 14, 2026. It is a snapshot, not a live feed, so check the official code before relying on it.

Text

For participants in the REM program, the Program covers and shall reimburse for services specified in Regulations .10 and .11 of this chapter when these services are:

A. Medically necessary;

B. Prescribed by a:

(1) Physician;

(2) Physician assistant; or

(3) Nurse practitioner;

C. Preauthorized, when required, by the Department;

D. Rendered in accordance with accepted health professional standards;

E. Rendered in accordance with the treatment plan or physician's, physician assistant’s, or nurse practitioner’s order, or both; and

F. Delivered by an enrolled Medical Assistance provider.

Cross References 10.09.69.02B(56)

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