<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.14.02.06" title_num="10" subtitle_num="14" chapter_num="02" heading="Nurse Anesthetist Services.">
  <paragraph num="A.">
    <text>To be considered a participating nurse anesthetist in the Program, the provider shall:</text>
    <paragraph num="(1)">
      <text>Be a certified nurse anesthetist in Maryland or a jurisdiction bordering Maryland;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Be currently collaborating with an anesthesiologist or other physician who is licensed to practice medicine in Maryland or a jurisdiction bordering Maryland in the manner prescribed by COMAR 10.27.06 or by the jurisdiction in which the service is provided;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Agree to accept, for each covered medical procedure performed or service provided, the following reimbursement including, if applicable, a medical management fee as described in Regulation .15 of this chapter:</text>
      <paragraph num="(a)">
        <text>The current Medical Assistance approved rate in the State for an eligible patient who is uninsured or who has insurance that does not provide coverage for a reimbursed procedure or service;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The reimbursement rate approved by the insurer plus the payment of the deductible and the patient contribution amount by the Department for an eligible patient who has insurance, other than Medicare, that provides coverage for a certain procedure or service;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The reimbursement rate approved by Medicare plus the payment of the deductible and patient contribution amount by the Department for an eligible patient who is covered by Medicare only; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>For an eligible patient who has insurance that provides reimbursement for a covered procedure or service that is less than the current Medical Assistance approved rate, the reimbursement rate approved by the insurer plus the difference between the reimbursement rate approved by the insurer and the Medical Assistance approved rate in the State plus the payment of the deductible by the Department;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Agree to abide by the provisions set forth in this section by signing and sending to the Department the designated Departmental form; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Agree to the medical, financial, and reporting requirements of the Program pursuant to Regulation .04A(5),(6), (9), and (10) of this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>An eligible health care provider may be a certified nurse anesthetist.</text>
  </paragraph>
  <paragraph num="C.">
    <text>The reimbursed medical procedure is anesthesia required for the diagnosis and treatment of breast cancer or cervical cancer.</text>
  </paragraph>
  <paragraph num="D.">
    <text>Non-reimbursed medical procedures and services include an anesthesia procedure or service not related to the diagnosis and treatment of breast cancer and cervical cancer.</text>
  </paragraph>
  <paragraph num="E.">
    <text>The participating nurse anesthetist provider shall accept the responsibilities pursuant to Regulation .04E(1)—(5), F, and G of this chapter.</text>
  </paragraph>
</regulation>