Md. Code Regs. 10.09.69.10

Current through Register Vol. 51, No. 21, October 18, 2024

Section 10.09.69.10 - Covered Services

A. Chiropractic services are covered for REM participants when:

(1) Services are provided to a REM participant who is 21 years old or older;

(2) Services are provided by a physician or chiropractor;

(3) The qualifying REM diagnosis or related illness shows deterioration or worsening symptoms and other traditional treatments have been ineffective;

(4) The treatment enhances or restores the participant's level of functioning; or

(5) Symptoms resulting from the REM diagnosis or related illness impairs a participant's activities of daily living.

B. Dental services are covered when services are:

(1) Provided to a REM participant who is 21 years old or older; and

(2) Rendered as specified in COMAR 10.09.05.

C. Nutritional counseling services are covered when services are provided:

(1) To a REM participant who is 21 years old or older; and

(2) By a dietitian-nutritionist.

D. Nutritional supplements are covered when the services:

(1) Include nutritional supplements or enteral feeding when medically necessary other than those administered by tube; and

(2) Are as described in COMAR 10.09.03.

E. The Department shall cover a physician's, physician assistant's, or nurse practitioner's participation at interdisciplinary team meetings when the case manager, in conjunction with the team or specific team members, convenes the team meeting for the purpose of developing or reviewing the REM participant's plan of care to ensure continuity of care or access to a specific service.

F. Occupational therapy services are covered when services are provided:

(1) To a REM participant who is 21 years old or older;

(2) By an occupational therapist; and

(3) In accordance with COMAR 10.46.01 and 10.46.02.

G. Speech-language pathology services include only those services that are provided:

(1) To a REM participant who is 21 years old or older;

(2) By a speech-language pathologist; and

(3) In accordance with COMAR 10.41.02 and 10.41.03.

Md. Code Regs. 10.09.69.10

Regulations .10 adopted as an emergency provision effective November 8, 1996 (23:25 Md. R. 1730)
Regulations .10 adopted effective March 10, 1997 (24:5 Md. R. 408)
Regulations .10 amended as an emergency provision effective July 1, 1997 (24:16 Md. R. 1151); emergency status expired December 31, 1997
Regulations .10, amended effective January 1, 1999 (25:26 Md. R. 1925)
Regulation .10B amended effective February 9, 1998 (25:3 Md. R. 144)
Regulations .10 adopted effective February 2, 2004 (31:2 Md. R. 84); amended and recodified from .09 effective 45:13 Md. R. 665, eff. 7/2/2018