<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.09.58.06" title_num="10" subtitle_num="09" chapter_num="58" heading="Limitations.">
  <paragraph num="A.">
    <text>The following services are not covered:</text>
    <paragraph num="(1)">
      <text>Services not medically necessary;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Transportation services;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>EPSDT services;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Services delivered in an in-patient hospital setting or ambulatory surgical center other than:</text>
      <paragraph num="(a)">
        <text>Permanent sterilizations; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A hysterosalpingogram following the Essure procedure;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Infertility services, including reversal of sterilization; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Any service not listed in Regulation .05 of this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Limitations for advanced practice nurse services covered under this chapter are those set forth in COMAR 10.09.01.05.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Limitations for physician services covered under this chapter are those set forth in COMAR 10.09.02.05.</text>
  </paragraph>
  <paragraph num="D.">
    <text>Limitations for free-standing clinic services covered under this chapter are those set forth in COMAR 10.09.08.07.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Limitations for pharmacy services covered under this chapter are those set forth in COMAR 10.09.03.05.</text>
  </paragraph>
  <paragraph num="F.">
    <text>Limitations for medical laboratory services covered under this chapter are those set forth in COMAR 10.09.09.05.</text>
  </paragraph>
  <paragraph num="G.">
    <text>Limitations for acute hospital services covered under this chapter are those set forth in COMAR 10.09.92.05.</text>
  </paragraph>
  <paragraph num="H.">
    <text>Limitations for physician assistant services covered under this chapter are those set forth in COMAR 10.09.55.05.</text>
  </paragraph>
  <paragraph num="I.">
    <text>Limitations for ambulatory surgery centers covered under this chapter are those set forth in COMAR 10.09.42.05.</text>
  </paragraph>
</regulation>