<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".08" citation="COMAR 10.09.23.08" title_num="10" subtitle_num="09" chapter_num="23" heading="Recovery and Reimbursement.">
  <paragraph num="A.">
    <text>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:</text>
    <paragraph num="(1)">
      <text>Comprehensive unclothed physical examinations;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Immunizations when the vaccine is not covered by the Vaccines for Children Program;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Vaccine administration; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Objective screenings for:</text>
      <paragraph num="(a)">
        <text>Developmental assessment;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Hearing; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Vision.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>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.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Recovery and reimbursement for all other services in the chapter are set forth in COMAR 10.09.36.07.</text>
  </paragraph>
</regulation>