<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.09.77.05" title_num="10" subtitle_num="09" chapter_num="77" heading="Limitations.">
  <text>The Program does not cover the following:</text>
  <paragraph num="A.">
    <text>Services not medically necessary;</text>
  </paragraph>
  <paragraph num="B.">
    <text>Investigational and experimental drugs and procedures;</text>
  </paragraph>
  <paragraph num="C.">
    <text>Services denied by Medicare as not medically necessary;</text>
  </paragraph>
  <paragraph num="D.">
    <text>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;</text>
  </paragraph>
  <paragraph num="E.">
    <text>Laboratory or x-ray services performed by another facility;</text>
  </paragraph>
  <paragraph num="F.">
    <text>Immunizations, except for:</text>
    <paragraph num="(1)">
      <text>Tetanus; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Rabies;</text>
    </paragraph>
  </paragraph>
  <paragraph num="G.">
    <text>Visits only to accomplish one or more of the following:</text>
    <paragraph num="(1)">
      <text>Collection of specimens for laboratory procedures;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Interpretation of laboratory tests or panels;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Ascertaining the patient's weight; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Measurement of blood pressure;</text>
    </paragraph>
  </paragraph>
  <paragraph num="H.">
    <text>Well child visits; and</text>
  </paragraph>
  <paragraph num="I.">
    <text>Sports physicals</text>
  </paragraph>
</regulation>