# COMAR Title 10 — Maryland Department of Health

## Subtitle 09 — Medical Care Programs

### Chapter 44 — Programs of All-Inclusive Care for the Elderly (PACE)

#### Regulation .22 Payment for Emergency Services.

*COMAR 10.09.44.22*

A. The PACE provider shall be responsible for prompt payment for all emergency services received by PACE participants.

B. If a claim is submitted to the PACE provider within 9 months of the date of service, the PACE provider shall reimburse a hospital emergency facility and provider or free-standing urgent care center, without requiring prior authorization or approval for payment from the PACE provider, for:

  (1) Emergency services;

  (2) Medical screening services rendered at an emergency facility to meet the requirements of the federal Emergency Medical Treatment and Active Labor Act; and

  (3) Medically necessary and appropriate services if:

    (a) The PACE provider authorized, referred, or otherwise allowed the PACE participant to use the emergency facility; and

    (b) The services are related to the condition for which the PACE participant was allowed to use the emergency facility.