<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".09" citation="COMAR 10.09.96.09" title_num="10" subtitle_num="09" chapter_num="96" heading="Payment Methodology.">
  <paragraph num="A.">
    <text>After providing the services outlined in Regulation .06 of this chapter, the remote patient monitoring provider shall submit the request for payment using the format designated by the Department.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Home health agencies shall:</text>
    <paragraph num="(1)">
      <text>Bill on a UB04; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Be paid a monthly rate.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Physicians, nurse practitioners, and physician assistants who provide remote patient monitoring shall:</text>
    <paragraph num="(1)">
      <text>Bill using a CMS 1500 or an 837P; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Be paid a monthly rate.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Professionals following up on abnormal results from remote patient monitoring shall be paid the lesser of:</text>
    <paragraph num="(1)">
      <text>Provider’s customary charge unless the service is free to individuals not covered by Medicaid; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The Department’s professional fee schedule as found in COMAR 10.09.02.07.</text>
    </paragraph>
  </paragraph>
</regulation>