<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.09.64.05" title_num="10" subtitle_num="09" chapter_num="64" heading="Limitations.">
  <text>Under this chapter, the Program does not cover the following:</text>
  <paragraph num="A.">
    <text>Services not specified in Regulation .03 of this chapter;</text>
  </paragraph>
  <paragraph num="B.">
    <text>Services not medically necessary;</text>
  </paragraph>
  <paragraph num="C.">
    <text>Services prohibited by the Maryland Nurse Practice Act or by the State Board of Nursing;</text>
  </paragraph>
  <paragraph num="D.">
    <text>Advanced practice nursing services included as part of the cost of:</text>
    <paragraph num="(1)">
      <text>An inpatient facility;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A hospital outpatient department; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A freestanding clinic;</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Visits by or to the provider solely for the purpose of the following:</text>
    <paragraph num="(1)">
      <text>Prescription, drug, or food supplement pick-up;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Recording of an electrocardiogram;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Ascertaining the patient’s weight;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Interpretation of laboratory tests or panels; or</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Prescribing or administering medication;</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Drugs and supplies which are acquired by the provider at no cost;</text>
  </paragraph>
  <paragraph num="G.">
    <text>Services paid under the free-standing dialysis program as described in COMAR 10.09.22;</text>
  </paragraph>
  <paragraph num="H.">
    <text>Prescriptions and injections for central nervous system stimulants and anorectic agents when used for weight control;</text>
  </paragraph>
  <paragraph num="I.">
    <text>Acupuncture;</text>
  </paragraph>
  <paragraph num="J.">
    <text>Hypnosis;</text>
  </paragraph>
  <paragraph num="K.">
    <text>Travel expenses;</text>
  </paragraph>
  <paragraph num="L.">
    <text>Investigational or experimental drugs and procedures;</text>
  </paragraph>
  <paragraph num="M.">
    <text>Services denied by Medicare as not medically justified;</text>
  </paragraph>
  <paragraph num="N.">
    <text>Specimen collection, except by venipuncture and capillary or arterial puncture, as a separate service;</text>
  </paragraph>
  <paragraph num="O.">
    <text>Laboratory or X-ray services performed by another facility, which shall be billed to the Program directly by the facility; and</text>
  </paragraph>
  <paragraph num="P.">
    <text>For certified nurse midwives, a separate visit charge on date of delivery.</text>
  </paragraph>
</regulation>