<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.09.95.04" title_num="10" subtitle_num="09" chapter_num="95" heading="Covered Services.">
  <paragraph num="A.">
    <text>The Program covers the following inpatient special psychiatric hospital services:</text>
    <paragraph num="(1)">
      <text>Medically necessary services for the number of days, per admission, including days certified by the Department or its designee;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Medically necessary mental health services authorized in accordance with COMAR 10.09.59.08 and as set forth in Regulation .05B(4) of this chapter;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Medically necessary services when these services are:</text>
      <paragraph num="(a)">
        <text>Necessary for the provision of diagnostic, curative, palliative, or rehabilitative treatment; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Described in the participant’s medical record in sufficient detail to support the invoices submitted for services.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Administrative days for the length of time certified by the Department or its designee;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Leaves of absence for therapeutic reasons or extenuating circumstances up to 12 hours per day, if the participant returns the same day, before the census check; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Observation services.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The Program covers partial hospitalization when the hospital has:</text>
    <paragraph num="(1)">
      <text>Written approval from the Office of Licensing and Certification Programs to be a provider of partial hospitalization in accordance with COMAR 10.21.02;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A certificate of need from the Maryland Health Resources Planning Commission, if required, to be a provider of partial hospitalization; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Obtained preauthorization in accordance with COMAR 10.09.59.08.</text>
    </paragraph>
  </paragraph>
</regulation>