<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.21.15.06" title_num="10" subtitle_num="21" chapter_num="15" heading="Payment Rates.">
  <text>The Department shall pay:</text>
  <paragraph num="A.">
    <text>Hospitals, at rates approved by the Health Services Cost Review Commission;</text>
  </paragraph>
  <paragraph num="B.">
    <text>Physicians, the lesser of the:</text>
    <paragraph num="(1)">
      <text>Amount billed; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>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</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Transportation providers, if transportation is by:</text>
    <paragraph num="(1)">
      <text>Ambulance, the lesser of the:</text>
      <paragraph num="(a)">
        <text>Amount billed; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The Statewide average of prevailing charges for an ambulance based on Medicare's 75th percentile; or</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A law enforcement officer in an emergency vehicle:</text>
      <paragraph num="(a)">
        <text>The cost per mile based on the county's established rates for emergency vehicles; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>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.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>