<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.09.29.05" title_num="10" subtitle_num="09" chapter_num="29" heading="Limitations.">
  <text>The Program does not cover the following:</text>
  <paragraph num="A.">
    <text>Services not specified in Regulation .04 of this chapter;</text>
  </paragraph>
  <paragraph num="B.">
    <text>Services not medically necessary;</text>
  </paragraph>
  <paragraph num="C.">
    <text>Investigational and experimental drugs and procedures;</text>
  </paragraph>
  <paragraph num="D.">
    <text>A day of inpatient care solely for the purpose of performing diagnostic tests that can be performed on an outpatient basis;</text>
  </paragraph>
  <paragraph num="E.">
    <text>Admissions with a primary diagnosis of alcoholism, drug addiction, or severe brain damage, or the following diagnoses in the ICD-9-CM,</text>
    <paragraph num="(1)">
      <text>294.0—Amnestic syndrome,</text>
    </paragraph>
    <paragraph num="(2)">
      <text>294.8—Other specified organic brain syndromes (chronic),</text>
    </paragraph>
    <paragraph num="(3)">
      <text>294.9—Unspecified organic brain syndromes (chronic),</text>
    </paragraph>
    <paragraph num="(4)">
      <text>299.00—299.8—Psychoses with origin specific to childhood,</text>
    </paragraph>
    <paragraph num="(5)">
      <text>301.7—Antisocial personality disorder,</text>
    </paragraph>
    <paragraph num="(6)">
      <text>302.70—302.79—Psychosexual dysfunction,</text>
    </paragraph>
    <paragraph num="(7)">
      <text>306.0—306.9—Physiological malfunction arising from mental factor,</text>
    </paragraph>
    <paragraph num="(8)">
      <text>307.0—Special symptoms or syndromes, not elsewhere classified (NEC),</text>
    </paragraph>
    <paragraph num="(9)">
      <text>307.2 —Tics,</text>
    </paragraph>
    <paragraph num="(10)">
      <text>307.40—307.49—Specific disorders of sleep of nonorganic origin,</text>
    </paragraph>
    <paragraph num="(11)">
      <text>307.9—Other and unspecified special symptoms or syndromes (NEC), or</text>
    </paragraph>
    <paragraph num="(12)">
      <text>316—Psychic factors associated with disease classified elsewhere;</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Days of care for recipients remaining in the residential treatment center beyond the length of stay certified by the team which develops the individual plan of care;</text>
  </paragraph>
  <paragraph num="G.">
    <text>Psychiatric services to recipients over 21 years old except as specified in Regulation .01B(16) of this chapter.</text>
  </paragraph>
</regulation>