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<regulation prefix="Regulation" num=".01" citation="COMAR 10.09.42.01" title_num="10" subtitle_num="09" chapter_num="42" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Covered surgical procedures” means those surgical and other medical procedures which meet the criteria specified in 42 CFR Part 416, Subpart F, §416.166(a) and (b), and which are published by the Centers for Medicare and Medicaid Services (CMS) in the Federal Register.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Dental Benefits Administrator (DBA)” means an entity that administers the dental program for the  Maryland Department of Health.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Dental services” means emergency, preventive, or therapeutic services for oral diseases which are administered by or under the general supervision of a dentist in the practice of the profession.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Department” means the Maryland Department of Health as defined in COMAR 10.09.36.01.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Free-standing Ambulatory Surgery Center (ASC)” means an entity capable of providing ambulatory surgical services, which is not located in a hospital setting, and which is Medicare-certified to furnish ambulatory surgical services.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Hospital” means any institution which falls within the jurisdiction of Health-General Article, Title 19, Subtitle 3, Annotated Code of Maryland, and is licensed pursuant to COMAR 10.07.01.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Medical Assistance Program” means the Medical Assistance Program as defined in COMAR 10.09.36.01.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Medicare” means Medicare as defined in COMAR 10.09.36.01.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Medicare-certified facility” means a facility which:</text>
      <paragraph num="(a)">
        <text>Is certified for Medicare by the regional office of the Centers for Medicare and Medicaid Services (CMS) to furnish ambulatory surgical services directly to patients;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Has an agreement with (CMS) under Medicare to participate as an ASC; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Meets the conditions set forth by (CMS) in 42 CFR Part 416, Subparts B, C, and F, §416.163.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(10)">
      <text>“Patient” means a recipient awaiting or undergoing health care or treatment.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Physician” means an individual legally licensed to practice medicine in the state in which the physician's practice is located.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Podiatrist” means a Doctor of Podiatry (D.P.M.) who is licensed to practice podiatry by the Board or by the state in which the service is rendered.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>“Program” means Program as defined in COMAR 10.09.36.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>“Provider” means a free-standing ambulatory surgical center which, through appropriate agreement with the Department, has been identified as a Program provider by the issuance of a provider account number.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“Recipient” means recipient as defined in COMAR 10.09.36.01.</text>
    </paragraph>
  </paragraph>
</regulation>