# COMAR Title 10 — Maryland Department of Health

## Subtitle 09 — Medical Care Programs

### Chapter 01 — Advanced Practice Nurse Services

#### Regulation .04 Covered Services.

*COMAR 10.09.01.04*

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.