# COMAR Title 10 — Maryland Department of Health

## Subtitle 09 — Medical Care Programs

### Chapter 64 — Collaborative Care Model

#### Regulation .05 Limitations.

*COMAR 10.09.64.05*

Under this chapter, the Program does not cover the following:

A. Services not specified in Regulation .03 of this chapter;

B. Services not medically necessary;

C. Services prohibited by the Maryland Nurse Practice Act or by the State Board of Nursing;

D. Advanced practice nursing services included as part of the cost of:

  (1) An inpatient facility;

  (2) A hospital outpatient department; or

  (3) A freestanding clinic;

E. Visits by or to the provider solely for the purpose of the following:

  (1) Prescription, drug, or food supplement pick-up;

  (2) Recording of an electrocardiogram;

  (3) Ascertaining the patient’s weight;

  (4) Interpretation of laboratory tests or panels; or

  (5) Prescribing or administering medication;

F. Drugs and supplies which are acquired by the provider at no cost;

G. Services paid under the free-standing dialysis program as described in COMAR 10.09.22;

H. Prescriptions and injections for central nervous system stimulants and anorectic agents when used for weight control;

I. Acupuncture;

J. Hypnosis;

K. Travel expenses;

L. Investigational or experimental drugs and procedures;

M. Services denied by Medicare as not medically justified;

N. Specimen collection, except by venipuncture and capillary or arterial puncture, as a separate service;

O. Laboratory or X-ray services performed by another facility, which shall be billed to the Program directly by the facility; and

P. For certified nurse midwives, a separate visit charge on date of delivery.