# COMAR Title 10 — Maryland Department of Health

## Subtitle 09 — Medical Care Programs

### Chapter 59 — Specialty Mental Health Services

#### Regulation .06 Covered Services.

*COMAR 10.09.59.06*

A. The ASO shall reimburse the following specialty mental health services rendered to participants when authorized by the ASO:

  (1) Medically necessary specialty mental health services delivered by providers listed in Regulation .04 of this chapter, for which the primary diagnosis is listed in COMAR 10.67.08.02M or N;

  (2) Telehealth services as defined in COMAR 10.09.49 when rendered in accordance with limitations in Regulation .07 of this chapter; and

  (3) Presumptive drug tests and definitive drug tests, when ordered by a specialty mental health provider, with a behavioral health primary diagnosis listed in COMAR 10.67.08.02M or N on the claim.

B. Specialty mental health services billed by local school systems are covered under the following conditions:

  (1) The services are not furnished as part of an individualized education program or individualized family service plan) as defined in COMAR 10.09.50.01; and

  (2) The services are rendered by a school psychologist or school social worker that meets the qualifications described in COMAR 10.09.50.02.