Md. Code Regs. 10.09.01.04

Current through Register Vol. 51, No. 12, June 14, 2024

Section 10.09.01.04 - Covered Services

A. Subject to §B of this regulation, the Program covers medically necessary services rendered to participants as follows:

(1) For nurse practitioners:

(a) Medically necessary services within the provider's scope of practice as described in COMAR 10.27.07; or

(b) If out-of-State, nurse practitioner services authorized in the state in which the services are provided;

(2) For nurse midwives:

(a) Medically necessary services within the provider's scope of practice as described in COMAR 10.27.05; or

(b) If out-of-State, nurse midwife services authorized in the state in which the services are provided;

(3) For certified registered nurse anesthetists:

(a) Medically necessary services within the provider's scope of practice and in collaboration with an authorized provider as described in COMAR 10.27.06; or

(b) If out-of-State, certified registered nurse anesthetist services authorized in the state in which the services are provided;

(4) Laboratory services when the advanced practice nurse is not required to register their office as a medical laboratory pursuant to Health-General Article, Title 17, Subtitle 2, Annotated Code of Maryland; and

(5) Drugs and supplies within the advanced practice nurse's scope of practice.

B. The services in §A of this regulation shall be:

(1) Medically necessary; and

(2) Described in the participant's medical record in sufficient detail to support the invoice submitted for those services.

Md. Code Regs. 10.09.01.04

Regulations .04B, C amended effective October 3, 1980 (7:20 Md. R. 1878); amended effective 44:17 Md. R. 834, eff. 8/28/2017