# COMAR Title 10 — Maryland Department of Health

## Subtitle 09 — Medical Care Programs

### Chapter 16 — Behavioral Health Crisis Services

#### Regulation .06 Limitations.

*COMAR 10.09.16.06*

A. The Program does not cover the following:

  (1) Services not delivered in compliance with Regulation .05 of this chapter;

  (2) Services not medically necessary;

  (3) Investigational or experimental drugs and procedures;

  (4) Services solely for the purpose of:

    (a) Prescribing medication;

    (b) Administering medication;

    (c) Drug or supply pick-up;

    (d) Collecting laboratory specimens;

    (e) Interpreting laboratory tests or panels; or

    (f) Administering injections;

  (5) Separate reimbursement to an employee of a program for services that have been provided by and reimbursed directly to a program;

  (6) Services provided to or for the primary benefit of individuals other than the participant;

  (7) Mobile crisis team services rendered by telehealth with the exception of those specified as permissible via telehealth in Regulation .05 of this chapter;

  (8) Behavioral health crisis stabilization center services rendered by telehealth with the exception of those specified in COMAR 10.63.03.21;

  (9) Services provided to participants in a hospital inpatient setting; and

  (10) Services rendered but not appropriately documented.

B. Providers may not be reimbursed by the Program for:

  (1) Behavioral health crisis stabilization center services exceeding 23 hours 59 minutes;

  (2) Presumptive and definitive drug testing when billed by a behavioral health crisis stabilization center; or

  (3) Transportation costs.