# COMAR 10.09.69.10: COMAR 10.09.69.10. Covered Services

> Maryland · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_10

## Section

- **Citation:** COMAR 10.09.69.10
- **Heading:** COMAR 10.09.69.10. Covered Services
- **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 69 Maryland Medicaid Managed Care Program: Rare and Expensive Case Management / COMAR 10.09.69.10

## Text

A. Chiropractic services are covered for REM participants when:
(1) Services are provided to a REM participant who is 21 years old or older;
(2) Services are provided by a physician or chiropractor;
(3) The qualifying REM diagnosis or related illness shows deterioration or worsening symptoms and other traditional treatments have been ineffective;
(4) The treatment enhances or restores the participant's level of functioning; or
(5) Symptoms resulting from the REM diagnosis or related illness impairs a participant's activities of daily living.
B. Dental services are covered when services are:
(1) Provided to a REM participant who is 21 years old or older; and
(2) Rendered as specified in COMAR 10.09.05 .
C. Nutritional counseling services are covered when services are provided:
(1) To a REM participant who is 21 years old or older; and
(2) By a dietitian-nutritionist.
D. Nutritional supplements are covered when the services:
(1) Include nutritional supplements or enteral feeding when medically necessary other than those administered by tube; and
(2) Are as described in COMAR 10.09.03 .
E. The Department shall cover a physician's, physician assistant’s, or nurse practitioner’s participation at interdisciplinary team meetings when the case manager, in conjunction with the team or specific team members, convenes the team meeting for the purpose of developing or reviewing the REM participant's plan of care to ensure continuity of care or access to a specific service.
F. Occupational therapy services are covered when services are provided:
(1) To a REM participant who is 21 years old or older;
(2) By an occupational therapist; and
(3) In accordance with COMAR 10.46.01 and 10.46.02 .
G. Speech-language pathology services include only those services that are provided:
(1) To a REM participant who is 21 years old or older;
(2) By a speech-language pathologist; and
(3) In accordance with COMAR 10.41.02 and 10.41.03 .

## Nearby sections

- [COMAR 10.09.69.01 COMAR 10.09.69.01. Purpose](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_01.md)
- [COMAR 10.09.69.02 COMAR 10.09.69.02. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_02.md)
- [COMAR 10.09.69.03 COMAR 10.09.69.03. REM Eligibility](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_03.md)
- [COMAR 10.09.69.04 COMAR 10.09.69.04. Participant Enrollment and Disenrollment](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_04.md)
- [COMAR 10.09.69.05 COMAR 10.09.69.05. Benefits](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_05.md)
- [COMAR 10.09.69.06 COMAR 10.09.69.06. Requirements for Provider Qualification](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_06.md)
- [COMAR 10.09.69.07 COMAR 10.09.69.07. Conditions for Participation — General Requirements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_07.md)
- [COMAR 10.09.69.08 COMAR 10.09.69.08. Specific Conditions for Provider Participation](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_08.md)
- [COMAR 10.09.69.09 COMAR 10.09.69.09. Covered Services — General Requirements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_09.md)
- [COMAR 10.09.69.10 COMAR 10.09.69.10. Covered Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_10.md)
- [COMAR 10.09.69.11 COMAR 10.09.69.11. Covered Optional Services — Private Duty Nursing, Certified Nursing Assistant, Certified Nursing Assistant Certified as a Certified Medication Technician, Home Health Aide and Home Health Aide Certified as a Certified Medication Technician](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_11.md)
- [COMAR 10.09.69.12 COMAR 10.09.69.12. Limitations](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_12.md)
- [COMAR 10.09.69.13 COMAR 10.09.69.13. Preauthorization Requirements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_13.md)
- [COMAR 10.09.69.14 COMAR 10.09.69.14. Payment Procedures — Request for Payment](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_14.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_10. Check the current official text before relying on it. Not legal advice.