The Program does not cover the following under these regulations: Services not encompassed by the physician assistant’s written delegation agreement with the physician, if required by the state in which services are provided; Services not medically necessary; Services prohibited by the Board; Services prohibited in the state in which services are provided; Physician assistant services included as part of the cost of an inpatient facility, hospital outpatient department, or freestanding clinic; Visits by or to the physician assistant solely for the purpose of the following: Prescription, drug, or food supplement pickup; Recording of an electrocardiogram; Ascertaining the patient's weight; Interpretation of laboratory tests or panels; or Prescribing or administering oral medications; Drugs and supplies which are acquired by the licensed and certified physician assistant at no cost; Injections and visits solely for the administration of injections, unless medical necessity and the patient's inability to take appropriate oral medications are documented in the patient's medical record; More than one visit per day per participant unless adequately documented as an emergency situation; Services paid under the free-standing dialysis program described in COMAR 10.09.22; Physician assistant billings for those laboratory or X-ray services performed by another facility, which shall bill the Program directly; Immunizations required for travel outside the continental United States; Acupuncture; Hypnosis; Travel expenses; Prescriptions and injections for central nervous system stimulants and anoretic agents when used for weight control; Investigational or experimental drugs and procedures; Services denied by Medicare as not medically justified; and Services for which the patient specifically requests to see a physician.