<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".07" citation="COMAR 10.09.06.07" title_num="10" subtitle_num="09" chapter_num="06" heading="Limitations.">
  <text>The Program does not cover the following in a residential substance use disorder treatment facility for adults:</text>
  <paragraph num="A.">
    <text>Services not medically necessary;</text>
  </paragraph>
  <paragraph num="B.">
    <text>ASAM Level 2 services by any provider;</text>
  </paragraph>
  <paragraph num="C.">
    <text>Except for services rendered to individuals in a residential, low-intensity program, ASAM Level 1 services by any provider;</text>
  </paragraph>
  <paragraph num="D.">
    <text>Services not specified in Regulation .06 of this chapter;</text>
  </paragraph>
  <paragraph num="E.">
    <text>Services beyond the provider’s scope of practice;</text>
  </paragraph>
  <paragraph num="F.">
    <text>Investigational and experimental drugs and procedures;</text>
  </paragraph>
  <paragraph num="G.">
    <text>Services rendered but not appropriately documented; and</text>
  </paragraph>
  <paragraph num="H.">
    <text>Services not preauthorized as required in Regulation .08 of this chapter.</text>
  </paragraph>
  <paragraph num="I.">
    <text>Additional services rendered via telehealth when telehealth services comprise more than 50 percent of a participant's weekly clinical services.</text>
  </paragraph>
</regulation>