# COMAR Title 10 — Maryland Department of Health

## Subtitle 09 — Medical Care Programs

### Chapter 84 — Community First Choice

#### Regulation .22 Conditions for Reimbursement.

*COMAR 10.09.84.22*

The Program shall reimburse for the services specified in Regulations .14—.21 of this chapter, if provided in accordance with the requirements of this chapter and if the service:

A. Is recommended on the participant’s plan of service as necessary in order to:

  (1) Prevent the applicant’s or participant’s admission to an institution;

  (2) Safely transition the applicant or participant from an institution, such as a nursing facility, into the community; or

  (3) Assure the health and safety of an applicant or participant in the community;

B. Has been preauthorized by the Department in the participant’s plan of service;

C. Is provided to an enrolled participant;

D. Is medically necessary; and

E. Is provided by a Medicaid provider who meets the conditions for participation under this chapter.