<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".08" citation="COMAR 10.09.59.08" title_num="10" subtitle_num="09" chapter_num="59" heading="Authorization Requirements.">
  <paragraph num="A.">
    <text>The ASO shall establish a process, through a utilization review system, for authorization of specialty mental health services.</text>
  </paragraph>
  <paragraph num="B.">
    <text>The ASO shall authorize services that are:</text>
    <paragraph num="(1)">
      <text>Medically necessary;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Of a type, frequency, and duration that are consistent with expected results and cost-effective; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Delivered in a manner consistent with this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Preauthorization is not required before a provider renders services in an emergency department.</text>
  </paragraph>
  <paragraph num="D.">
    <text>Except as provided in Regulation .08C of this chapter, no payment shall be rendered for services that have not been authorized.</text>
  </paragraph>
</regulation>