Md. Code Regs. 10.09.21.06

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Current through Register Vol. 52, No. 1, January 10, 2025

Section 10.09.21.06 - Payment Procedures

A. The provider shall adhere to general provider payment procedures established in COMAR 10.09.36.04.

B. The provider shall be reimbursed in accordance with COMAR 10.09.02.07D.

C. Effective January 1, 2024, medication therapy management shall be reimbursed at the following rates:

(1) For the first 8-15 minutes:

(a) For new patients, $49.67 per unit of service; or

(b) For established patients, $31.24 per unit of service; and

(2) For each additional 8-15 minute, $24.54 per unit of service.

D. Billing time limitations for claims submitted pursuant to this chapter are set forth in COMAR 10.09.36.06.

Md. Code Regs. 10.09.21.06

Regulation .06 repealed effective 44:17 Md. R. 834, eff. 8/28/2017; amended effective 45:26 Md. R. 1242, eff. 12/31/2018; amended effective 48:12 Md. R. 473, eff. 6/14/2021; amended effective 50:8 Md. R. 337, eff. 5/1/2023; amended effective 51:26 Md. R. 1187, eff. 1/6/2025.