Regulation .04 Covered Services.
Regulation .04 Covered Services.LinkCopy Citation
A.
Subject to §B of this regulation, the Program covers medically necessary services rendered to participants as follows:
(1)
For nurse practitioners:
(a)
Medically necessary services within the provider’s scope of practice as described in COMAR 10.27.07; or
(b)
If out-of-State, nurse practitioner services authorized in the state in which the services are provided;
(2)
For nurse midwives:
(a)
Medically necessary services within the provider’s scope of practice as described in COMAR 10.27.05; or
(b)
If out-of-State, nurse midwife services authorized in the state in which the services are provided;
(3)
For certified registered nurse anesthetists:
(a)
Medically necessary services within the provider’s scope of practice and in collaboration with an authorized provider as described in COMAR 10.27.06; or
(b)
If out-of-State, certified registered nurse anesthetist services authorized in the state in which the services are provided;
(4)
Laboratory services when the advanced practice nurse is not required to register their office as a medical laboratory pursuant to Health-General Article, Title 17, Subtitle 2, Annotated Code of Maryland; and
(5)
Drugs and supplies within the advanced practice nurse’s scope of practice.
B.
The services in §A of this regulation shall be:
(1)
Medically necessary; and
(2)
Described in the participant’s medical record in sufficient detail to support the invoice submitted for those services.