<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".10" citation="COMAR 10.09.49.10" title_num="10" subtitle_num="09" chapter_num="49" heading="Reimbursement.">
  <paragraph num="A.">
    <text>To receive reimbursement for telehealth services, a provider shall:</text>
    <paragraph num="(1)">
      <text>Be actively enrolled with Maryland Medical Assistance;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Participate with a telehealth partner that meets provider conditions for participation as set forth in Regulation .06 of this chapter; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>If a provider is a behavioral health service provider, be registered as a provider through the ASO on the date the service is rendered.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Distant Site Reimbursement.</text>
    <paragraph num="(1)">
      <text>The distant site shall be reimbursed:</text>
      <paragraph num="(a)">
        <text>For somatic services provided via telehealth, as set forth in COMAR 10.09.02.07D;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>For mental health services provided via telehealth, as set forth in COMAR 10.09.59.09; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>For substance use disorder services provided via telehealth, as set forth in COMAR 10.09.80.08.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Services delivered via telehealth shall be billed with the telehealth GT modifier.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Services delivered via telehealth shall be within the provider’s scope of practice as determined by its governing licensure or credentialing board.</text>
    </paragraph>
  </paragraph>
</regulation>