<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.09.57.04" title_num="10" subtitle_num="09" chapter_num="57" heading="Covered Services.">
  <text>Providers may be capitated for one of the following packages of services subject to the approval of the Department:</text>
  <paragraph num="A.">
    <text>Inpatient hospital services, as long as the applicant, if regulated by the Health Services Cost Review Commission, has received permission from that agency to receive capitation payments;</text>
  </paragraph>
  <paragraph num="B.">
    <text>Mental health services, including but not limited to, psychiatric inpatient treatment and community mental health outpatient services;</text>
  </paragraph>
  <paragraph num="C.">
    <text>Not more than two of the following services or groups of services:</text>
    <paragraph num="(1)">
      <text>Outpatient hospital services,</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Physician services,</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Laboratory and X-ray services,</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Nursing facility services, EPSDT, and family planning services, and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Home health services;</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Any service covered by the Program other than a service specified in §A or C of this regulation;</text>
  </paragraph>
  <paragraph num="E.">
    <text>Inpatient hospital services as listed in §A of this regulation, plus one or more of the services included in §D of this regulation; or</text>
  </paragraph>
  <paragraph num="F.">
    <text>Not more than two of the services listed in §C of this regulation, plus one or more of the services included in §D of this regulation.</text>
  </paragraph>
</regulation>