<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.14.04.06" title_num="10" subtitle_num="14" chapter_num="04" heading="Covered Services.">
  <paragraph num="A.">
    <text>The following breast cancer services are covered for enrollees under this chapter through the Breast and Cervical Cancer Program:</text>
    <paragraph num="(1)">
      <text>Annual clinical breast examinations;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Mammograms that are provided:</text>
      <paragraph num="(a)">
        <text>Annually to enrollees 50 years old or older; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>At least on a biennial basis to enrollees 40 years old through 49 years old; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Follow-up clinical breast examinations, mammograms, ultrasounds, and surgical consults as considered medically necessary by the participating medical provider under the Breast and Cervical Cancer Program.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The following breast cancer services are covered for enrollees under this chapter through the Reimbursement for Breast and Cervical Cancer Diagnosis and Treatment Program:</text>
    <paragraph num="(1)">
      <text>A physician's services as described in COMAR 10.14.02.04C;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A nurse practitioner's services as described in COMAR 10.14.02.05C;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A nurse anesthetist's services as described in COMAR 10.14.02.06C;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>A physical therapist's services as described in COMAR 10.14.02.07B;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>A pharmacy's services as described in COMAR 10.14.02.08B;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>A hospital's services as described in COMAR 10.14.02.09B;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>A medical supply company's services as described in COMAR 10.14.02.10B;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>A home health service provider's services as described in COMAR 10.14.02.11B;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>A medical laboratory's services as described in COMAR 10.14.02.12B; or</text>
    </paragraph>
    <paragraph num="(10)">
      <text>A free-standing ambulatory surgical center's services as described in COMAR 10.14.02.13B.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>The following breast cancer services are not covered for enrollees under this chapter:</text>
    <paragraph num="(1)">
      <text>A physician's services as described in COMAR 10.14.02.04D;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A nurse practitioner's services as described in COMAR 10.14.02.05D;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A nurse anesthetist's services as described in COMAR 10.14.02.06D;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>A physical therapist's services as described in COMAR 10.14.02.07C;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>A pharmacy's services as described in COMAR 10.14.02.08C;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>A hospital's services as described in COMAR 10.14.02.09C;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>A medical supply company's services as described in COMAR 10.14.02.10C;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>A home health service provider's services as described in COMAR 10.14.02.11D;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>A medical laboratory's services as described in COMAR 10.14.02.12C; or</text>
    </paragraph>
    <paragraph num="(10)">
      <text>A free-standing ambulatory surgical center's services as described in COMAR 10.14.02.13C.</text>
    </paragraph>
  </paragraph>
</regulation>