Md. Code Regs. 10.09.06.07

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.09.06.07 - Limitations

The Program does not cover the following in a residential substance use disorder treatment facility for adults:

A. Services not medically necessary;

B. ASAM Level 2 services by any provider;

C. Except for services rendered to individuals in a residential, low-intensity program, ASAM Level 1 services by any provider;

D. Services not specified in Regulation .06 of this chapter;

E. Services beyond the provider's scope of practice;

F. Investigational and experimental drugs and procedures;

G. Services rendered but not appropriately documented; and

H. Services not preauthorized as required in Regulation .08 of this chapter.

I. Additional services rendered via telehealth when telehealth services comprise more than 50 percent of a participant's weekly clinical services.

Md. Code Regs. 10.09.06.07

Regulations .07 amended as an emergency provision effective July 1, 1977 (4:15 Md. R. 1142); temporary status extended at 4:17 Md. R. 1291; amended permanently effective October 21, 1977 (4:22 Md. R. 1671)
Regulation .07A amended as an emergency provision effective January 8, 1979 (6:2 Md. R. 72); emergency status extended until June 1, 1979 (6:12 Md. R. 1045); adopted permanently effective June 1, 1979 (6:11 Md. R. 979)
Regulations .07 amended as an emergency provision effective January 1, 1981 (7:26 Md. R. 2412); adopted permanently effective May 2, 1981 (8:8 Md. R. 721)
Regulations .07A amended as an emergency provision effective July 2, 1984 (11:15 Md. R. 1327); emergency status extended at 11:19 Md. R. 1665 and 11:21 Md. R. 1809; emergency status expired October 14, 1984
Regulation .07I amended as an emergency provision effective July 1, 1978 (5:14 Md. R. 1131); adopted permanently effective November 3, 1978 (5:22 Md. R. 1673)
Regulations .07 amended as an emergency provision effective December 1, 1984 (11:25 Md. R. 2127); emergency status expired April 30, 1985
Regulation .07A amended as an emergency provision effective February 13, 1985 (12:5 Md. R. 480); adopted permanently effective June 3, 1985 (12:11 Md. R. 1048)
Regulation .07A amended as an emergency provision effective July 1, 1986 (13:14 Md. R. 1626); adopted permanently effective December 1, 1986 (13:19 Md. R. 2120)
Regulation .07A amended as an emergency provision effective September 2, 1986 (13:23 Md. R. 2477); adopted permanently effective January 1, 1987 (13:23 Md. R. 2480)
Regulation .07A amended effective January 30, 1984 (11:2 Md. R. 113); October 15, 1984 (11:20 Md. R. 1742); May 1, 1985 (12:8 Md. R. 802); March 10, 1986 (13:5 Md. R. 542); November 17, 1986 (13:23 Md. R. 2480); March 23, 1987 (14:6 Md. R. 715); April 18, 1988 (15:6 Md. R. 740); September 5, 1988 (15:18 Md. R. 2147)
Regulation .07B amended effective May 2, 1981 (8:8 Md. R. 721); March 29, 1982 (9:6 Md. R. 614); October 15, 1984 (11:20 Md. R. 1742); May 1, 1985 (12:8 Md. R. 802)
Regulation .07B-1 adopted effective February 15, 1982 (9:3 Md. R. 221)
Regulation .07B-1 adopted and existing .07B-1 recodified as .07B-2 as an emergency provision effective July 1, 1986 (13:14 Md. R. 1626); adopted permanently effective December 1, 1986 (13:19 Md. R. 2120)
Regulation .07K amended effective January 30, 1984 (11:2 Md. R. 113); September 10, 1984 (11:18 Md. R. 1584)
Regulation .07 amended effective July 1, 1996 (23:13 Md. R. 943)
Regulation .07C adopted effective January 30, 1995 (22:2 Md. R. 77); repealed effective 44:7 Md. R. 354, eff. 4/10/2017; adopted effective 44:18 Md. R. 865, eff. 9/11/2017; amended effective 46:26 Md. R. 1164, eff. 12/30/2019; amended effective 50:20 Md. R. 886, eff. 10/16/2023