# COMAR Title 10 — Maryland Department of Health

## Subtitle 09 — Medical Care Programs

### Chapter 46 — Home and Community-Based Services Waiver for Individuals with Brain Injury

#### Regulation .10 Conditions for Reimbursement.

*COMAR 10.09.46.10*

The Department shall reimburse for services covered under this chapter if the services are:

A. Provided to a participant who meets the qualifications for eligibility specified in Regulations .02 and .03 of this chapter;

B. Preauthorized in the participant's waiver plan of care by the BHA, as being reasonable and medically necessary to prevent institutionalization;

C. Provided by an approved provider which meets the conditions for participation in Regulations .05 and .06 of this chapter; and

D. Rendered pursuant to:

  (1) The relevant definition of covered services in Regulation .01 of this chapter;

  (2) All other requirements specified in this chapter and COMAR 10.09.36; and

  (3) The waiver proposal and any amendments to it approved by the Secretary of the U.S. Department of Health and Human Services.