Md. Code Regs. 10.09.57.04

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

Section 10.09.57.04 - Covered Services

Providers may be capitated for one of the following packages of services subject to the approval of the Department:

A. Inpatient hospital services, as long as the applicant, if regulated by the Health Services Cost Review Commission, has received permission from that agency to receive capitation payments;

B. Mental health services, including but not limited to, psychiatric inpatient treatment and community mental health outpatient services;

C. Not more than two of the following services or groups of services:

(1) Outpatient hospital services,

(2) Physician services,

(3) Laboratory and X-ray services,

(4) Nursing facility services, EPSDT, and family planning services, and

(5) Home health services;

D. Any service covered by the Program other than a service specified in §A or C of this regulation;

E. Inpatient hospital services as listed in §A of this regulation, plus one or more of the services included in §D of this regulation; or

F. Not more than two of the services listed in §C of this regulation, plus one or more of the services included in §D of this regulation.

Md. Code Regs. 10.09.57.04

Regulations .04 adopted as an emergency provision effective June 14, 1995 (22:14 Md. R. 1051); adopted permanently effective October 23, 1995 (22:21 Md. R. 1616)