Plain Text Law

Regulation .05 Limitations.

Regulation .05 Limitations.Copy Citation

The Program does not cover the following:
A.
Services not medically necessary;
B.
Investigational and experimental drugs and procedures;
C.
Services denied by Medicare as not medically necessary;
D.
Services rendered via telehealth that do not comply with the telehealth requirements established in COMAR 10.09.49 and any other subregulatory guidance issued by the Department;
E.
Laboratory or x-ray services performed by another facility;
F.
Immunizations, except for:
(1)
Tetanus; and
(2)
Rabies;
G.
Visits only to accomplish one or more of the following:
(1)
Collection of specimens for laboratory procedures;
(2)
Interpretation of laboratory tests or panels;
(3)
Ascertaining the patient's weight; and
(4)
Measurement of blood pressure;
H.
Well child visits; and
I.
Sports physicals