Md. Code Regs. 10.09.59.06

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

Section 10.09.59.06 - Covered Services

The ASO shall reimburse the following specialty mental health services rendered to participants when authorized by the ASO:

A. Medically necessary specialty mental health services delivered by providers listed in Regulation .04 of this chapter, for which the primary diagnosis is listed in COMAR 10.09.70.02I or J;

B. Telehealth services as defined in COMAR 10.09.49; and

C. Presumptive drug tests and definitive drug tests, when ordered by a specialty mental health provider, with a behavioral health primary diagnosis listed in COMAR 10.09.70.021 or J on the claim.

Md. Code Regs. 10.09.59.06

Regulations .06 adopted as an emergency provision effective February 3, 1995 (22:4 Md. R. 232); adopted permanently effective June 5, 1995 (22:11 Md. R. 821)
Regulations .06 amended as an emergency provision effective July 1, 1997 (24:18 Md. R. 1291); emergency status expired December 31, 1997; amended permanently effective February 9, 1998 (25:3 Md. R. 144)
Regulations .06 under, Rehabilitation and Other Mental Health Services, repealed and new Regulations .06 under, Specialty Mental Health Services, adopted effective December 22, 2014 (41:25 Md. R. 1479)
Regulation .06 amended effective 42:21 Md. R. 1300, eff.10/26/2015; amended effective 43:20 Md. R. 1109, eff. 10/10/2016