# COMAR 10.25.10.06: COMAR 10.25.10.06. Payments for Medicaid Trauma Patients > Maryland · Regulations · In force URL: https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_25_10_06 ## Section - **Citation:** COMAR 10.25.10.06 - **Heading:** COMAR 10.25.10.06. Payments for Medicaid Trauma Patients - **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 25 MARYLAND HEALTH CARE COMMISSION / Chapter 10 Maryland Trauma Physician Services Fund / COMAR 10.25.10.06 ## Text A. A trauma physician or trauma health care practitioner: (1) Is eligible for payment from the Fund for trauma services provided to a Medicaid trauma patient on the Maryland Trauma Registry on or after July 1, 2024; and (2) May seek reimbursement in accordance with this regulation. B. A trauma physician or trauma health care practitioner providing trauma services to a Medicaid trauma patient during the service period shall be reimbursed at the greater of: (1) The Medicaid routine payment rate; or (2) Up to 100 percent of the current Medicare facility-based payment in the Baltimore carrier locality area. C. To be eligible for the Medicaid differential payment described in §B of this regulation , diagnosis codes shall meet one of the following two conditions: (1) A diagnosis code shall fall between 800.00 — 959.9; or (2) If a diagnosis code does not fall between 800.0 — 959.9, a supplementary classification of external causes of injury and poisoning (E800 — E999) shall appear as a secondary diagnosis code. D. An organization billing on behalf of trauma physicians or trauma health care practitioners eligible for Medicaid differential payments shall designate a trauma service by using the appropriate code in the CPT Modifier field on the electronic claim or on the paper CMS 1500 in accordance with Medicaid claims submission requirements. E. To be eligible for the Medicaid differential payment described in §B of this regulation , the place of service code shall have one of the following values: (1) Appropriate code to indicate “acute care inpatient hospital”; (2) Appropriate code to indicate “outpatient hospital”; (3) Appropriate code to indicate “emergency room”; or 1500 in accordance with Medicaid claims submission requirements. E. To be eligible for the Medicaid differential payment described in §B of this regulation , the place of service code shall have one of the following values: (1) Appropriate code to indicate “acute care inpatient hospital”; (2) Appropriate code to indicate “outpatient hospital”; (3) Appropriate code to indicate “emergency room”; or (4) Appropriate code to indicate “inpatient rehabilitation hospital”. F. The Maryland Department of Health may apply Medicaid payment rules when adjudicating claims for trauma services to trauma patients. G. The Fund shall transfer to the Maryland Department of Health an amount sufficient to fully cover the State's share of expenditures for Medicaid differential payments for that fiscal year. ## Nearby sections - [COMAR 10.25.10.01 COMAR 10.25.10.01. Scope](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_25_10_01.md) - [COMAR 10.25.10.02 COMAR 10.25.10.02. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_25_10_02.md) - [COMAR 10.25.10.03 COMAR 10.25.10.03. Fund Administration](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_25_10_03.md) - [COMAR 10.25.10.04 COMAR 10.25.10.04. Source of Fund Revenue](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_25_10_04.md) - [COMAR 10.25.10.05 COMAR 10.25.10.05. Who May Request Payment](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_25_10_05.md) - [COMAR 10.25.10.06 COMAR 10.25.10.06. Payments for Medicaid Trauma Patients](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_25_10_06.md) - [COMAR 10.25.10.07 COMAR 10.25.10.07. Payments for Uncompensated Care Patients](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_25_10_07.md) - [COMAR 10.25.10.08 COMAR 10.25.10.08. On-Call Payment](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_25_10_08.md) - [COMAR 10.25.10.09 COMAR 10.25.10.09. Payment for Costs at a Pediatric Center](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_25_10_09.md) - [COMAR 10.25.10.10 COMAR 10.25.10.10. Trauma Equipment Grants](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_25_10_10.md) - [COMAR 10.25.10.11 COMAR 10.25.10.11. Equitable Payment Under the Fund](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_25_10_11.md) - [COMAR 10.25.10.12 COMAR 10.25.10.12. Filing of On-call Applications and Uncompensated Care Claims](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_25_10_12.md) - [COMAR 10.25.10.13 COMAR 10.25.10.13. Audits](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_25_10_13.md) - [COMAR 10.25.10.14 COMAR 10.25.10.14. Appeals](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_25_10_14.md) --- Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_25_10_06. Check the current official text before relying on it. Not legal advice.