Payment procedures for this chapter are set forth in COMAR 10.09.36. The Department will authorize payment on Medicare ambulance claims if: The provider accepts Medicare assignments; Medicare makes direct payment to the provider; The services are covered by the Program; Initial billing is made directly to Medicare according to Medicare guidelines; Medicare has determined that services were medically justified. The Department will make supplemental payment on Medicare ambulance claims, subject to the following conditions: Deductible insurance will be paid in full; Coinsurance will be paid in full. Billing time limitations for claims submitted pursuant to this chapter are set forth in COMAR 10.09.36.