Md. Code Regs. 10.09.42.04

Current through Register Vol. 51, No. 25, December 13, 2024

Section 10.09.42.04 - Covered Services

The Program covers the following:

A. Medically necessary facility services rendered to recipients in a free-standing Medicare-certified ambulatory surgical center;

B. Diagnostic, curative, palliative, or rehabilitative services, when clearly related to the recipient's individual needs;

C. Surgical procedures which meet the standards described in 42 CFR Part 416, Subpart D, § 416.65, and as published by the Centers for Medicare and Medicaid Services; and

D. Dental services that have been pre-authorized by the Dental Benefits Administrator (DBA).

Md. Code Regs. 10.09.42.04

Regulation .04C amended effective September 29, 2003 (30:19 Md. R. 1332); April 5, 2010 (37:7 Md. R. 571)
Regulation .04 amended effective 42:5 Md. R. 485, eff.3/16/2015