<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.09.01.04" title_num="10" subtitle_num="09" chapter_num="01" heading="Covered Services.">
  <paragraph num="A.">
    <text>Subject to §B of this regulation, the Program covers medically necessary services rendered to participants as follows:</text>
    <paragraph num="(1)">
      <text>For nurse practitioners:</text>
      <paragraph num="(a)">
        <text>Medically necessary services within the provider’s scope of practice as described in COMAR 10.27.07; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>If out-of-State, nurse practitioner services authorized in the state in which the services are provided;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>For nurse midwives:</text>
      <paragraph num="(a)">
        <text>Medically necessary services within the provider’s scope of practice as described in COMAR 10.27.05; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>If out-of-State, nurse midwife services authorized in the state in which the services are provided;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>For certified registered nurse anesthetists:</text>
      <paragraph num="(a)">
        <text>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</text>
      </paragraph>
      <paragraph num="(b)">
        <text>If out-of-State, certified registered nurse anesthetist services authorized in the state in which the services are provided;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>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</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Drugs and supplies within the advanced practice nurse’s scope of practice.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The services in §A of this regulation shall be:</text>
    <paragraph num="(1)">
      <text>Medically necessary; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Described in the participant’s medical record in sufficient detail to support the invoice submitted for those services.</text>
    </paragraph>
  </paragraph>
</regulation>