<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".18" citation="COMAR 10.09.90.18" title_num="10" subtitle_num="09" chapter_num="90" heading="Payment Procedures.">
  <paragraph num="A.">
    <text>The Program shall reimburse the provider according to the requirements in this chapter and COMAR 10.09.89 for services delivered to 1915(i) participants, and the fees established under COMAR 10.21.25.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Request for Payment.</text>
    <paragraph num="(1)">
      <text>A provider shall submit requests for payment of mental health case management services according to procedures established by the Department.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A provider shall bill the Program for the appropriate fee under COMAR 10.21.25.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The Program may not make direct payment to recipients.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Minutes of service and units per participant are to be totaled by day and by service.</text>
  </paragraph>
  <paragraph num="D.">
    <text>Billing time limitations for services covered under this chapter are the same as those set forth in COMAR 10.09.36.06.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Payment shall be made:</text>
    <paragraph num="(1)">
      <text>Only to a qualified provider for covered services rendered to a participant, as specified in these regulations; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>According to the requirements of this chapter and COMAR 10.09.89 for 1915(i) participants, and the fees established in COMAR 10.21.25.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Service Provision. Units of services for all levels of care coordination shall be 15 minutes of contact, which may include:</text>
    <paragraph num="(1)">
      <text>Face-to-face and non-face-to-face contacts with the participant or, if the participant is a minor, with the minor’s parent or guardian; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Indirect collateral contacts on behalf of the participant with other community providers.</text>
    </paragraph>
  </paragraph>
</regulation>