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<regulation prefix="Regulation" num=".01" citation="COMAR 10.09.88.01" title_num="10" subtitle_num="09" chapter_num="88" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“CMS” means Centers for Medicare and Medicaid Services.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Department” means the Maryland Department of Health.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Mammography” means the radiographic examination of the soft tissues of the breast.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Medical Assistance Program” means the program of comprehensive medical and other health-related care for indigent and medically indigent persons.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Medically necessary” means medically necessary as defined in COMAR 10.09.36.01.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Medicare” means the insurance program administered by the federal government under Title XVIII of the Social Security Act, 42 U.S.C. §1395 et seq.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“NPI” means National Provider Identifier.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Program” means the Medical Assistance Program.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Portable X-ray provider” means an entity that moves its portable X-ray equipment that is separate from and unattached to the vehicle to a fixed location (e.g. a physician’s office or nursing home).</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Provider” means:</text>
      <paragraph num="(a)">
        <text>An individual, association, partnership, corporation, unincorporated group, or any other person authorized, licensed, or certified to provide services for Program recipients and who, through appropriate agreement with the Department, has been identified as a Program provider by the issuance of an individual account number;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>An agent, employee, or related party of a person identified in §B(10)(a) of this regulation; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>An individual or any other person with an ownership interest in a person identified in §B(10)(a) of this regulation.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(11)">
      <text>“Recipient” means an individual who is certified as eligible for, and is receiving, Medical Assistance benefits.</text>
    </paragraph>
  </paragraph>
</regulation>