<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".15" citation="COMAR 10.14.02.15" title_num="10" subtitle_num="14" chapter_num="02" heading="Medical Management Fee.">
  <paragraph num="A.">
    <text>A participating health care provider eligible to receive a medical management fee may be one of the following:</text>
    <paragraph num="(1)">
      <text>Anesthesiologist;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Certified nurse midwife;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Family practitioner;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Gynecologist;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Medical internist;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Medical oncologist;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Nurse anesthetist;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Nurse practitioner;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Pathologist;</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Physician assistant;</text>
    </paragraph>
    <paragraph num="(11)">
      <text>Radiation oncologist;</text>
    </paragraph>
    <paragraph num="(12)">
      <text>Radiologist;</text>
    </paragraph>
    <paragraph num="(13)">
      <text>Surgeon; and</text>
    </paragraph>
    <paragraph num="(14)">
      <text>Participating health care provider who renders services pursuant to §B of this regulation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The Department shall reimburse a participating health care provider as outlined in §A of this regulation a medical management fee of $50 each time a reimbursed service:</text>
    <paragraph num="(1)">
      <text>Is in compliance with the medical guidelines pursuant to Regulation .04A(7)(a)—(f) of this chapter;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Involves a consult with an oncologist pursuant to Regulation .04A(7)(g) and (h) of this chapter;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Is in compliance with the medical care management guidelines pursuant to Regulation .04A(6) of this chapter; or</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Is billed with the medical management fee for reporting and includes a copy of the relevant medical report including, but not limited to:</text>
      <paragraph num="(a)">
        <text>Radiology;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Biopsy;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Operative; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Staging.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>The Program shall reimburse for claims pursuant to this regulation as set forth in Regulation .21 of this chapter.</text>
  </paragraph>
</regulation>