<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.09.59.06" title_num="10" subtitle_num="09" chapter_num="59" heading="Covered Services.">
  <paragraph num="A.">
    <text>The ASO shall reimburse the following specialty mental health services rendered to participants when authorized by the ASO:</text>
    <paragraph num="(1)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Telehealth services as defined in COMAR 10.09.49 when rendered in accordance with limitations in Regulation .07 of this chapter; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>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.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Specialty mental health services billed by local school systems are covered under the following conditions:</text>
    <paragraph num="(1)">
      <text>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</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The services are rendered by a school psychologist or school social worker that meets the qualifications described in COMAR 10.09.50.02.</text>
    </paragraph>
  </paragraph>
</regulation>