<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".22" citation="COMAR 10.09.44.22" title_num="10" subtitle_num="09" chapter_num="44" heading="Payment for Emergency Services.">
  <paragraph num="A.">
    <text>The PACE provider shall be responsible for prompt payment for all emergency services received by PACE participants.</text>
  </paragraph>
  <paragraph num="B.">
    <text>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:</text>
    <paragraph num="(1)">
      <text>Emergency services;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Medical screening services rendered at an emergency facility to meet the requirements of the federal Emergency Medical Treatment and Active Labor Act; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Medically necessary and appropriate services if:</text>
      <paragraph num="(a)">
        <text>The PACE provider authorized, referred, or otherwise allowed the PACE participant to use the emergency facility; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The services are related to the condition for which the PACE participant was allowed to use the emergency facility.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>