# COMAR Title 10 — Maryland Department of Health

## Subtitle 09 — Medical Care Programs

### Chapter 13 — Ambulance and Wheelchair Van Services

#### Regulation .07 Payment Procedures.

*COMAR 10.09.13.07*

A. Payment procedures for this chapter are set forth in COMAR 10.09.36.

B. The Department will authorize payment on Medicare ambulance claims if:

  (1) The provider accepts Medicare assignments;

  (2) Medicare makes direct payment to the provider;

  (3) The services are covered by the Program;

  (4) Initial billing is made directly to Medicare according to Medicare guidelines;

  (5) Medicare has determined that services were medically justified.

C. The Department will make supplemental payment on Medicare ambulance claims, subject to the following conditions:

  (1) Deductible insurance will be paid in full;

  (2) Coinsurance will be paid in full.

D. Billing time limitations for claims submitted pursuant to this chapter are set forth in COMAR 10.09.36.