<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.09.31.06" title_num="10" subtitle_num="09" chapter_num="31" heading="Payment Procedures.">
  <paragraph num="A.">
    <text>Payment procedures for this chapter are set forth in COMAR 10.09.36.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Emergency Medical Transportation Services Reimbursement.</text>
    <paragraph num="(1)">
      <text>Payment for covered services provided in response to each 911 call incident is the lesser of:</text>
      <paragraph num="(a)">
        <text>The amount billed; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Effective July 1, 2022, $150.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Effective January 1, 2023, payment for covered services provided in response to each 911 call incident that does not result in a transport is the lesser of:</text>
      <paragraph num="(a)">
        <text>The amount billed; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>$150.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Mobile Integrated Health Reimbursement.</text>
    <paragraph num="(1)">
      <text>Payment for a mobile integrated health visit is the lesser of:</text>
      <paragraph num="(a)">
        <text>The amount billed; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Effective January 1, 2023, $150.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The provider shall bill one mobile integrated health service, regardless of the number of clinical services rendered to a participant during the visit.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Billing time limitations for claims submitted pursuant to this chapter are set forth in COMAR 10.09.36.</text>
  </paragraph>
</regulation>