Md. Code Regs. 10.09.30.05

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

Section 10.09.30.05 - Covered Services

A. The Program reimburses for completed comprehensive evaluations, which include assessment by a nurse, social worker, or both.

B. The comprehensive evaluation or designated form is to be completed within the following time frames:

(1) 3 business days for all Geriatric Evaluation Services (GES) and Preadmission Screening and Resident Review (PASRR) for individuals transferring from a hospital to a nursing facility;

(2) 5 business days for all other PASRR; and

(3) 15 calendar days for all other purposes.

C. The comprehensive evaluation shall be completed in-person.

D. The Department will reimburse for the services listed in §A of this regulation when they are:

(1) Rendered to participants as defined in Regulation .02 of this chapter;

(2) Completed within the time frame specified in §B of this regulation, unless the Department is notified, in writing, of circumstances that prevent completion within the specified time frame and a temporary, alternative schedule has been approved by the Department;

(3) Adequately performed as reflected on the completed form specified by the Department and submitted to the Program as a condition for payment; and

(4) Rendered by a provider approved to perform comprehensive evaluations.

Md. Code Regs. 10.09.30.05

Regulations .05 adopted as an emergency provision effective October 21, 1986 (13:23 Md. R. 2477); emergency status extended at 14:2 Md. R. 125; adopted permanently effective January 27, 1987 (14:2 Md. R. 129)
Regulation .05 amended effective January 9, 1989 (15:27 Md. R. 3129)
Regulation .05D amended as an emergency provision effective July 1, 2001 (28:16 Md. R. 1480); amended permanently effective October 1, 2001 (28:19 Md. R. 1684); amended and recodified from .04 effective 50:24 Md. R. 1041, eff. 12/11/2023