# COMAR Title 10 — Maryland Department of Health

## Subtitle 21 — Behavioral Health Regulations

### Chapter 15 — Petition for Emergency Evaluation — Payment for Services

#### Regulation .06 Payment Rates.

*COMAR 10.21.15.06*

The Department shall pay:

A. Hospitals, at rates approved by the Health Services Cost Review Commission;

B. Physicians, the lesser of the:

  (1) Amount billed; or

  (2) The Statewide average of prevailing charges for an examination by a physician consultant based on Medicare's 75th percentile as determined according to 42 CFR Sec. 405.504; and

C. Transportation providers, if transportation is by:

  (1) Ambulance, the lesser of the:

    (a) Amount billed; or

    (b) The Statewide average of prevailing charges for an ambulance based on Medicare's 75th percentile; or

  (2) A law enforcement officer in an emergency vehicle:

    (a) The cost per mile based on the county's established rates for emergency vehicles; and

    (b) The cost of the law enforcement officer's hourly wage for the number of hours, not to exceed 4 hours, required to transport the emergency evaluee.