Md. Code Regs. 10.09.77.05 - Limitations

The Program does not cover the following:

A. Services not medically necessary;

B. Investigational and experimental drugs and procedures;

C. Services denied by Medicare as not medically necessary;

D. Services rendered via telehealth that do not comply with the telehealth requirements established in COMAR 10.09.49 and any other subregulatory guidance issued by the Department;

E. Laboratory or x-ray services performed by another facility;

F. Immunizations, except for:

(1) Tetanus; and

(2) Rabies;

G. Visits only to accomplish one or more of the following:

(1) Collection of specimens for laboratory procedures;

(2) Interpretation of laboratory tests or panels;

(3) Ascertaining the patient's weight; and

(4) Measurement of blood pressure;

H. Well child visits; and

I. Sports physicals.

Notes

Md. Code Regs. 10.09.77.05

Regulation .05 amended effective 50:13 Md. R. 512, eff. 7/10/2023; amended effective 52:6 Md. R. 268, eff. 3/31/2025.