Md. Code Regs. tit. 10, pt. 2, subtit. 09, ch. 10.09.67 - Maryland Medicaid Managed Care Program: Benefits (Recodified to be COMAR 10.67.06)

  1. § 10.09.67.01 - Required Benefits Package - In General (Recodified)
  2. § 10.09.67.02 - Benefits - Primary Care Services (Recodified)
  3. § 10.09.67.03 - Benefits - Physician and Advanced Practice Nurse Specialty Care Services (Recodified)
  4. § 10.09.67.04 - Benefits - Pharmacy Services (Recodified)
  5. § 10.09.67.05 - Benefits - Home Health Services (Recodified)
  6. § 10.09.67.06 - Benefits - Habilitation Services for Medicaid Expansion Populations (Recodified)
  7. § 10.09.67.07 - Benefits - Inpatient Hospital Services (Recodified)
  8. § 10.09.67.08 - Benefits - Outpatient Hospital Services (Recodified)
  9. § 10.09.67.09 - Benefits - Transplants (Recodified)
  10. § 10.09.67.10 - Recodified
  11. § 10.09.67.11 - Benefits - Diagnostic and Laboratory Services (Recodified)
  12. § 10.09.67.12 - Benefits - Long-Term Care Facility Services (Recodified)
  13. § 10.09.67.13 - Benefits - Disposable Medical Supplies and Durable Medical Equipment (Recodified)
  14. § 10.09.67.14 - Benefits - Vision Care Services (Recodified)
  15. § 10.09.67.15 - Benefits - Podiatry Services (Recodified)
  16. § 10.09.67.16 - Benefits - Outpatient Rehabilitative Services (Recodified)
  17. § 10.09.67.17 - Benefits - Oxygen and Related Respiratory Equipment (Recodified)
  18. § 10.09.67.18 - Benefits - Dialysis Services (Recodified)
  19. § 10.09.67.19 - Benefits - Family Planning Services (Recodified)
  20. § 10.09.67.20 - Benefits - EPSDT Services (Recodified)
  21. § 10.09.67.21 - Benefits - Pregnancy-Related Services (Recodified)
  22. § 10.09.67.22 - Benefits - Case Management Services for HIV-Infected Individuals (Recodified)
  23. § 10.09.67.23 - Benefits - Hospice Care Services (Recodified)
  24. § 10.09.67.24 - Benefits - Diabetes Prevention and Care Services (Recodified)
  25. § 10.09.67.25 - Benefits - Blood and Blood Products (Recodified)
  26. § 10.09.67.26 - Benefits - Primary Mental Health Services (Recodified)
  27. § 10.09.67.26-1 - Clinical Trial Items and Services - Coverage for Routine Costs (Recodified)
  28. § 10.09.67.26-2 - Plastic and Restorative Surgery (Recodified)
  29. § 10.09.67.26-3 - Gender Transition Services (Recodified)
  30. § 10.09.67.26-4 - Audiology (Recodified)
  31. § 10.09.67.26-5 - Remote Patient Monitoring (Recodified)
  32. § 10.09.67.27 - Benefits - Limitations (Recodified)
  33. § 10.09.67.28 - Benefits - Self-Referral Services (Recodified)
  34. § 10.09.67.29 - Optional Services (Recodified)
  35. § 10.09.67.30 - Recodified
  36. § 10.09.67.31 - Benefits - Telemedicine Services (Recodified)

Notes

Md. Code Regs. tit. 10, pt. 2, subtit. 09, ch. 10.09.67
Effective date:
Regulations .01-.30 adopted as an emergency provision effective November 8, 1996 (23:25 Md. R. 1730); adopted permanently effective March 10, 1997 (24:5 Md. R. 408)
Regulation .01 amended as an emergency provision effective January 5, 2005 (32:6 Md. R. 634); amended permanently effective April 11, 2005 (32:7 Md. R. 679)
Regulation .01 amended effective December 27, 2010 (37:26 Md. R. 1787); February 16, 2015 (42:3 Md. R. 316); February 26, 2018 (45:4 Md. R. 205)
Regulation .01A amended effective November 6, 2006 (33:22 Md. R. 1732); February 27, 2017 (44:4 Md. R. 253)
Regulation .01B amended effective February 2, 2004 (31:2 Md. R. 82)
Regulation .01C amended as an emergency provision effective July 1, 2003 (30:21 Md. R. 1527); amended permanently effective November 10, 2003 (30:22 Md. R. 1580)
Regulation .01C amended effective August 16, 2004 (31:16 Md. R. 1255)
Regulations .01D, .04, .06, .07B, .10, .13, .21A, and .28 amended as an emergency provision effective July 1, 1998 (25:16 Md. R. 1261); amended permanently effective January 1, 1999 (25:26 Md. R. 1925)
Regulation .01D amended effective December 19, 2005 (32:25 Md. R. 1941); October 5, 2009 (36:20 Md. R. 1528)
Regulation .01G adopted effective June 30, 2008 (35:13 Md. R. 1180)
Regulation .02 amended effective November 6, 2006 (33:22 Md. R. 1732)
Regulation .03A amended as an emergency provision effective January 5, 2005 (32:6 Md. R. 634); amended permanently effective April 11, 2005 (32:7 Md. R. 679)
Regulation .03A amended effective November 6, 2006 (33:22 Md. R. 1732); April 19, 2010 (37:8 Md. R. 615)
Regulation .04 amended effective December 25, 2000 (27:25 Md. R. 2281); February 18, 2002 (29:3 Md. R. 220); February 16, 2015 (42:3 Md. R. 316); February 26, 2018 (45:4 Md. R. 205)
Regulation .04A, C amended effective April 28, 2014 (41:8 Md. R. 471)
Regulation .04A, D amended effective November 6, 2006 (33:22 Md. R. 1732); April 19, 2010 (37:8 Md. R. 615)
Regulation .04C amended effective October 26, 2015 (42:21 Md. R. 1301)
Regulation .04D amended effective February 6, 2012 (39:2 Md. R. 141)
Regulation .04G, H adopted effective February 6, 2012 (39:2 Md. R. 141)
Regulation .05 amended effective February 18, 2002 (29:3 Md. R. 220)
Regulation .05A amended effective November 6, 2006 (33:22 Md. R. 1732)
Regulation .06 amended as an emergency provision effective December 1, 1999 (26:25 Md. R. 1888); amended permanently effective December 25, 2000 (27:25 Md. R. 2281)
Regulation .06 repealed effective April 19, 2010 (37:8 Md. R. 615)
Regulation .06A amended effective February 2, 2004 (31:2 Md. R. 82); December 20, 2004 (31:25 Md. R. 1790)
Regulations .07, .09, .10, and .27 amended as an emergency provision effective July 1, 1997 (24:16 Md. R. 1151); emergency status expired December 31, 1997
Regulation .06 adopted effective February 16, 2015 (42:3 Md. R. 316)
Regulation .07 amended effective November 6, 2006 (33:22 Md. R. 1732)
Regulation .07B amended effective December 24, 2012 (39:25 Md. R. 1613); February 27, 2017 (44:4 Md. R. 253)
Regulation .07F adopted effective February 9, 1998 (25:3 Md. R. 144)
Regulation .07F amended effective April 10, 2006 (33:73 Md. R. 668)
Regulation .07G adopted as an emergency provision effective January 5, 2005 (32:6 Md. R. 634); adopted permanently effective April 11, 2005 (32:7 Md. R. 679)
Regulation .07H adopted as an emergency provision effective November 1, 2008 (35:24 Md. R. 2069); amended permanently effective February 23, 2009 (36:4 Md. R. 353)
Regulation .07I adopted effective October 26, 2015 (42:21 Md. R. 1301)
Regulation .08 amended effective November 6, 2006 (33:22 Md. R. 1732)
Regulation .09 amended effective February 9, 1998 (25:3 Md. R. 144); November 6, 2006 (33:22 Md. R. 1732)
Regulation .10 amended effective February 9, 1998 (25:3 Md. R. 144)
Regulation .10 repealed effective February 16, 2015 (42:3 Md. R. 316)
Regulation .10A amended effective February 2, 2004 (31:2 Md. R. 82); November 6, 2006 (33:22 Md. R. 1732); April 19, 2010 (37:8 Md. R. 615)
Regulation .10C amended as an emergency provision effective February 11, 2004 (31:5 Md. R. 445); amended permanently effective April 12, 2004 (31:7 Md. R. 584)
Regulation .10C repealed effective June 30, 2008 (35:13 Md. R. 1180)
Regulation .11 amended effective November 6, 2006 (33:22 Md. R. 1732)
Regulation .11B amended as an emergency provision effective July 1, 2002 (29:15 Md. R. 1139); amended permanently effective October 28, 2002 (29:21 Md. R. 1645)
Regulation .11B amended effective June 30, 2008 (35:13 Md. R. 1180)
Regulation .12 amended effective February 18, 2002 (29:3 Md. R. 220)
Regulation .12 amended as an emergency provision effective July 1, 2003 (30:21 Md. R. 1527); amended permanently effective November 10, 2003 (30:22 Md. R. 1580)
Regulation .12 amended as an emergency provision effective January 5, 2005 (32:6 Md. R. 634); amended permanently effective April 11, 2005 (32:7 Md. R. 679)
Regulation .12 amended effective November 6, 2006 (33:22 Md. R. 1732); December 27, 2010 (37:26 Md. R. 1787); December 24, 2012 (39:25 Md. R. 1613); October 28, 2013 (40:21 Md. R. 1775); February 16, 2015 (42:3 Md. R. 316); February 27, 2017 (44:4 Md. R. 253)
Regulation .13A amended effective November 6, 2006 (33:22 Md. R. 1732)
Regulation .13D adopted effective February 2, 2004 (31:2 Md. R. 82)
Regulation .14A, C amended effective November 6, 2006 (33:22 Md. R. 1732)
Regulation .14C amended effective February 2, 2004 (31:2 Md. R. 82)
Regulation .15 amended as an emergency provision effective January 5, 2005 (32:6 Md. R. 634); amended permanently effective April 11, 2005 (32:7 Md. R. 679)
Regulation .15 amended effective November 6, 2006 (33:22 Md. R. 1732); November 7, 2016 (43:22 Md. R. 1221)
Regulation .16 amended effective December 23, 2002 (29:25 Md. R. 1981); November 6, 2006 (33:22 Md. R. 1732)
Regulation .17 amended effective November 6, 2006 (33:22 Md. R. 1732)
Regulation .18 amended effective November 6, 2006 (33:22 Md. R. 1732)
Regulation .19 amended effective November 6, 2006 (33:22 Md. R. 1732); November 5, 2007 (34:22 Md. R. 1977); February 26, 2018 (45:4 Md. R. 205); October 22, 2018 (45:21 Md. R. 973)
Regulation .20A amended effective February 2, 2004 (31:2 Md. R. 82)
Regulation .20B amended effective February 9, 1998 (25:3 Md. R. 144); February 18, 2002 (29:3 Md. R. 220); April 10, 2006 (33:7 Md. R. 668); December 24, 2012 (39:25 Md. R. 1613); April 28, 2014 (41:8 Md. R. 471); February 27, 2017 (44:4 Md. R. 252); October 22, 2018 (45:21 Md. R. 973)
Regulation .21A amended effective November 6, 2006 (33:22 Md. R. 1732); November 5, 2007 (34:22 Md. R. 1977); October 5, 2009 (36:20 Md. R. 1528); April 19, 2010 (37:8 Md. R. 615); December 24, 2012 (39:25 Md. R. 1613)
Regulation .21D amended effective November 6, 2006 (33:22 Md. R. 1732)
Regulation .22 amended effective November 6, 2006 (33:22 Md. R. 1732); April 9, 2007 (34:7 Md. R. 698)
Regulation .23 amended effective February 18, 2002 (29:3 Md. R. 220); November 6, 2006 (33:22 Md. R. 1732)
Regulation .24 amended effective October 28, 2013 (40:21 Md. R. 1775)
Regulation .24A, C amended effective November 6, 2006 (33:22 Md. R. 1732)
Regulation .24C amended as an emergency provision effective January 5, 2005 (32:6 Md. R. 634); amended permanently effective April 11, 2005 (32:7 Md. R. 679)
Regulation .25 amended effective November 6, 2006 (33:22 Md. R. 1732)
Regulation .26 amended effective November 6, 2006 (33:22 Md. R. 1732); February 16, 2015 (42:3 Md. R. 316)
Regulation .26-1 adopted as an emergency provision effective January 5, 2005 (32:6 Md. R. 634); adopted permanently effective April 11, 2005 (32:7 Md. R. 679)
Regulation .26-2 adopted as an emergency provision effective January 5, 2005 (32:6 Md. R. 634); adopted permanently effective April 11, 2005 (32:7 Md. R. 679)
Regulation .26-3 adopted effective August 29, 2016 (43:17 Md. R. 955)
Regulation .26-4 adopted effective October 22, 2018 (45:21 Md. R. 973)
Regulation .26-5 adopted effective October 22, 2018 (45:21 Md. R. 973)
Regulation .27 amended effective December 24, 2012 (39:25 Md. R. 1613); October 28, 2013 (40:21 Md. R. 1775)
Regulation .27A amended effective October 26, 2015 (42:21 Md. R. 1301); August 29, 2016 (43:17 Md. R. 955); October 22, 2018 (45:21 Md. R. 973)
Regulation .27B amended effective February 9, 1998 (25:3 Md. R. 144)
Regulation .27B amended as an emergency provision effective March 9, 1998 (25:7 Md. R. 525); amended permanently effective June 15, 1998 (25:12 Md. R. 947)
Regulation .27B amended effective November 1, 1999 (26:22 Md. R. 1692); December 25, 2000 (27:25 Md. R. 2281); December 23, 2002 (29:25 Md. R. 1981); February 2, 2004 (31:2 Md. R. 82); December 20, 2004 (31:25 Md. R. 1790)
Regulation .27B amended as an emergency provision effective January 5, 2005 (32:6 Md. R. 634); amended permanently effective April 11, 2005 (32:7 Md. R. 679)
Regulation .27B amended effective April 10, 2006 (33:73 Md. R. 668); November 6, 2006 (33:22 Md. R. 1732); November 5, 2007 (34:22 Md. R. 1977); June 30, 2008 (35:13 Md. R. 1180); April 19, 2010 (37:8 Md. R. 615); February 16, 2015 (42:3 Md. R. 316)
Regulation .28 amended effective April 19, 2010 (37:8 Md. R. 615); February 16, 2015 (42:3 Md. R. 316); April 10, 2017 (44:7 Md. R. 355)
Regulation .28D amended effective February 6, 2012 (39:2 Md. R. 141)
Regulation .28G amended effective November 6, 2006 (33:22 Md. R. 1732); April 9, 2007 (34:7 Md. R. 698)
Regulation .28H repealed effective December 23, 2002 (29:25 Md. R. 1981)
Regulation .28H adopted effective November 6, 2006 (33:22 Md. R. 1732)
Regulation .28H amended effective April 9, 2007 (34:7 Md. R. 698)
Regulation .28I adopted effective April 9, 2007 (34:7 Md. R. 698)
Regulation .28I, J amended effective October 28, 2013 (40:21 Md. R. 1775)
Regulation .28K adopted effective October 28, 2013 (40:21 Md. R. 1775)
Regulation .29E-G adopted effective April 28, 2014 (41:8 Md. R. 471)
Regulation .30 repealed effective December 31, 2018 (45:26 Md. R. 1244)
Regulation .31 adopted effective April 28, 2014 (41:8 Md. R. 471)
Regulation .24 amended effective August 26, 2019 (46:16 Md. R. 726)
Chapter 10.09.67 recodified to be Chapter 10.67.06 effective November 1, 2019 (46:22 Md. R. 977)

Authority: Health-General Article, Title 15, Subtitle 1, Annotated Code of Maryland

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