# COMAR 10.09.92.05: COMAR 10.09.92.05. Limitations > Maryland · Regulations · In force URL: https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_05 ## Section - **Citation:** COMAR 10.09.92.05 - **Heading:** COMAR 10.09.92.05. 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 92 Acute Hospitals / COMAR 10.09.92.05 ## Text The Program does not cover: A. Hospital services, procedures, drugs, or hospital admissions that are investigational or experimental; B. Hospital services denied by Medicare as not medically necessary; C. Inpatient admissions or outpatient visits solely for the administration of injections, unless medical necessity and the participant's inability to take appropriate oral medications is documented in the participant's medical record; D. Elective inpatient admissions without preauthorization; E. Elective inpatient admissions from the emergency department for dialysis services that are the result of problems occurring with placement in a freestanding dialysis facility; F. Outpatient visits for one or more of the following: (1) Prescription drug or food supplement pick up; (2) Collection of specimens for laboratory procedures; (3) Recording of an electrocardiogram; (4) Ascertaining the participant's weight; and (5) Administration of vaccines; G. Interpretation of laboratory tests or panels; H. Autopsies; I. Weight control medications; J. Care provided to a well newborn beyond the: (1) Length of the mother's stay for a normal obstetrical or uncomplicated caesarean section delivery; or (2) First 4 days of the newborn's life when the mother remains in the hospital due to other circumstances; K. Telephones, televisions, or personal comfort items or services; L. Duplicate care or services; M. Elective admissions to hospitals outside of Maryland, except the District of Columbia, unless the Department or its designee determines that comparable services are not available in Maryland; N. Inpatient and outpatient diagnostic and laboratory services not ordered by the attending physician or other practitioner; O. Inpatient days provided in excess of the days approved by the Department or its designee; P. Hospital laboratory tests which are coverable under COMAR 10.09.09 , unless the specimen is obtained in the hospital for a participant receiving inpatient, outpatient, emergency department, or observation services; Q c and laboratory services not ordered by the attending physician or other practitioner; O. Inpatient days provided in excess of the days approved by the Department or its designee; P. Hospital laboratory tests which are coverable under COMAR 10.09.09 , unless the specimen is obtained in the hospital for a participant receiving inpatient, outpatient, emergency department, or observation services; Q. Hospital services provided outside of the United States; and R. Ancillary services that are part of an observation stay beyond the initial 24 hours. Cross References 10.09.58.06G 10.14.02.09C ## Nearby sections - [COMAR 10.09.92.01 COMAR 10.09.92.01. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_01.md) - [COMAR 10.09.92.02 COMAR 10.09.92.02. License Requirements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_02.md) - [COMAR 10.09.92.03 COMAR 10.09.92.03. Conditions for Participation](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_03.md) - [COMAR 10.09.92.04 COMAR 10.09.92.04. Covered Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_04.md) - [COMAR 10.09.92.05 COMAR 10.09.92.05. Limitations](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_05.md) - [COMAR 10.09.92.06 COMAR 10.09.92.06. Utilization Review](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_06.md) - [COMAR 10.09.92.07 COMAR 10.09.92.07. Payment Procedures](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_07.md) - [COMAR 10.09.92.08 COMAR 10.09.92.08. District of Columbia Hospital Reimbursement](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_08.md) - [COMAR 10.09.92.09 COMAR 10.09.92.09. Submitting Cost Reports for Freestanding Acute Rehabilitation Hospitals](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_09.md) - [COMAR 10.09.92.10 COMAR 10.09.92.10. Cost Settlement for Freestanding Acute Rehabilitation Hospitals](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_10.md) - [COMAR 10.09.92.11 COMAR 10.09.92.11. Recovery and Reimbursement](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_11.md) - [COMAR 10.09.92.12 COMAR 10.09.92.12. Cause for Suspension or Removal and Imposition of Sanctions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_12.md) - [COMAR 10.09.92.13 COMAR 10.09.92.13. Appeal Procedures](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_13.md) - [COMAR 10.09.92.14 COMAR 10.09.92.14. Interpretive Regulation](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_14.md) --- Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_05. Check the current official text before relying on it. Not legal advice.