Md. Code Regs. 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).

Notes

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

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