# COMAR 10.09.94.04: COMAR 10.09.94.04. Covered Services

> Maryland · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_94_04

## Section

- **Citation:** COMAR 10.09.94.04
- **Heading:** COMAR 10.09.94.04. 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 94 Special Pediatric Hospitals / COMAR 10.09.94.04

## Text

A. The Program covers the following inpatient services at special pediatric hospitals:
(1) A hospital admission determined to be medically necessary for a participant who is stable enough for transfer to a post-acute setting and requires medical or rehabilitative services that:
(a) Cannot be provided at a lower level of care; and
(b) Meets the medical eligibility criteria under Regulation .06 of this chapter ;
(2) Administrative days for the length of time certified by the Department or its designee;
(3) Inpatient admissions for intensive occupational therapy, physical therapy, or speech therapy on a regimen which is less than 3 hours per day, 5 days per week, when these services are provided in a unit that is accredited by the Commission on Accreditation of Rehabilitation Facilities to provide rehabilitation services; and
(4) Ancillary services.
B. The Program covers the following outpatient hospital services:
(1) Medically necessary services for the provision of diagnostic, curative, palliative, or rehabilitative treatment; and
(2) For a participant younger than 21 years old, physical therapy, occupational therapy, speech therapy, and audiology services if:
(a) The therapy provider develops a written plan of treatment in collaboration with the participant’s primary care physician and the participant or the parent or guardian of the participant;
(b) The service is provided according to the plan of treatment; and
(c) The services provider sends an update of the plan of treatment to the participant’s primary care physician every 90 days.

## Nearby sections

- [COMAR 10.09.94.01 COMAR 10.09.94.01. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_94_01.md)
- [COMAR 10.09.94.02 COMAR 10.09.94.02. License Requirements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_94_02.md)
- [COMAR 10.09.94.03 COMAR 10.09.94.03. Conditions for Participation](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_94_03.md)
- [COMAR 10.09.94.04 COMAR 10.09.94.04. Covered Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_94_04.md)
- [COMAR 10.09.94.05 COMAR 10.09.94.05. Limitations](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_94_05.md)
- [COMAR 10.09.94.06 COMAR 10.09.94.06. Utilization Review](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_94_06.md)
- [COMAR 10.09.94.07 COMAR 10.09.94.07. Payment Procedures](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_94_07.md)
- [COMAR 10.09.94.08 COMAR 10.09.94.08. District of Columbia Hospital Reimbursement](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_94_08.md)
- [COMAR 10.09.94.09 COMAR 10.09.94.09. Billing and Reimbursement Principles](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_94_09.md)
- [COMAR 10.09.94.10 COMAR 10.09.94.10. Recovery and Reimbursement](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_94_10.md)
- [COMAR 10.09.94.11 COMAR 10.09.94.11. Cause for Suspension or Removal and Imposition of Sanctions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_94_11.md)
- [COMAR 10.09.94.12 COMAR 10.09.94.12. Appeal Procedures](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_94_12.md)
- [COMAR 10.09.94.13 COMAR 10.09.94.13. Interpretive Regulation](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_94_13.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_94_04. Check the current official text before relying on it. Not legal advice.