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<regulation prefix="Regulation" num=".02" citation="COMAR 10.09.96.02" title_num="10" subtitle_num="09" chapter_num="96" 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>“Certified nurse midwife” means an individual who meets the licensure and conditions of participation for certified nurse midwives set forth in COMAR 10.09.01.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Certified nurse practitioner” means an individual who meets the licensure and conditions of participation for certified nurse practitioners set forth in COMAR 10.09.01.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Department” means the Maryland Department of Health, which is the single State agency designated to administer the</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Episode” means the span of treatment during which remote patient monitoring services are rendered to eligible participants.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Home” means the place of residence occupied by the participant, other than a hospital, nursing facility, or other medical or psychiatric institution.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Home health agency" means a public or private agency or organization that meets the licensure requirements and conditions of participation of COMAR 10.09.04.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Maryland Medical Assistance Program” means the program of comprehensive medical, behavioral, and other health-related care for indigent and medically indigent individuals, jointly financed by the federal and state governments and administered by states under Title XIX of the Social Security Act, 42 U.S.C. §1396 et seq., as amended.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Medically necessary” means that the service or benefit is:</text>
      <paragraph num="(a)">
        <text>Directly related to diagnostic, preventive, curative, palliative, rehabilitative, or ameliorative treatment of an illness, injury, disability, or health condition;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Consistent with currently accepted standards of good medical practice;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The most cost-efficient service that can be provided without sacrificing effectiveness or access to care; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Not primarily for the convenience of the consumer, family, or provider.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(9)">
      <text>“Participant” means an individual who is certified as eligible for, and is receiving, Medical Assistance benefits.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Physician” means an individual who meets the licensure requirements and conditions of participation of COMAR 10.09.02.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Physician assistant” means an individual who meets the licensure requirements and conditions of participation set forth in COMAR 10.09.55.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Program” means the Maryland Medical Assistance Program.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>“Provider” means an individual or an organization who:</text>
      <paragraph num="(a)">
        <text>Meets the requirements of Regulations .03 and .04 of this chapter; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Through an appropriate agreement with the Department, has been identified as a Program provider by the issuance of a unique provider number.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(14)">
      <text>“Remote patient monitoring” means the use of synchronous or asynchronous digital technologies that collect or monitor medical, patient-reported, and other forms of health care data for Program participants at an originating site and electronically transmit that data to a distant site provider to enable the distant site provider to assess, diagnose, consult, treat, educate, provide care management, suggest self-management, or make recommendations regarding the Program participant’s health care.</text>
    </paragraph>
  </paragraph>
</regulation>