<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".10" citation="COMAR 10.09.41.10" title_num="10" subtitle_num="09" chapter_num="41" heading="Covered Services.">
  <paragraph num="A.">
    <text>Except as provided in §§B and C of this regulation, a recipient in the EID coverage group is covered for medically necessary services required by the recipient, if the services are:</text>
    <paragraph num="(1)">
      <text>Furnished by a provider who, with respect to the services rendered, is approved by the Department to participate in the Medical Assistance Program;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Covered under the State Plan;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Not covered under ESI or any other health insurance coverage besides Medical Assistance; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Not the subject of any third party liability.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Copayments, Deductibles, and Coinsurance. Medical Assistance does not cover any copayments, deductibles, or coinsurance applicable to the ESI coverage of a recipient in the EID coverage group.</text>
  </paragraph>
  <paragraph num="C.">
    <text>An EID recipient is not entitled to:</text>
    <paragraph num="(1)">
      <text>Enrollment in the Maryland Medicaid Managed Care Program (HealthChoice) in accordance with COMAR 10.09.62—10.09.75;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Enrollment in Rare and Expensive Case Management (REM), in accordance with COMAR 10.09.69;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Enrollment in the Program of All-Inclusive Care for the Elderly (PACE) under COMAR 10.09.44; or</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Long-term care facility services exceeding 30 consecutive days.</text>
    </paragraph>
  </paragraph>
</regulation>