# COMAR Title 10 — Maryland Department of Health

## Subtitle 09 — Medical Care Programs

### Chapter 23 — Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services

#### Regulation .08 Recovery and Reimbursement.

*COMAR 10.09.23.08*

A. Regardless of whether the participant has other third-party insurance coverage, EPSDT screening providers shall bill the Program directly for the following components of an EPSDT screen:

  (1) Comprehensive unclothed physical examinations;

  (2) Immunizations when the vaccine is not covered by the Vaccines for Children Program;

  (3) Vaccine administration; and

  (4) Objective screenings for:

    (a) Developmental assessment;

    (b) Hearing; and

    (c) Vision.

B. Upon submission of a claim for a EPSDT screening component, as described in §A of this regulation, the Department shall pursue third-party reimbursement when appropriate.

C. Recovery and reimbursement for all other services in the chapter are set forth in COMAR 10.09.36.07.