<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".07" citation="COMAR 10.21.15.07" title_num="10" subtitle_num="21" chapter_num="15" heading="Subrogation by the Department.">
  <paragraph num="A.">
    <text>Before billing the Department, the provider shall:</text>
    <paragraph num="(1)">
      <text>Take all reasonable steps to collect the charge from the emergency evaluee and, if applicable, from insurers, including Medicare and Medical Assistance; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Make and document a determination of the evaluee's inability to pay, according to the provisions of Regulation .03 of this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A provider:</text>
    <paragraph num="(1)">
      <text>Shall accept as payment in full the maximum payment amount allowable under Medicare for services rendered to eligible participants; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>May not bill the Department for any amount in excess of that allowable under §B(1) of this regulation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>If a provider receives payment from both the Department and another source, within 30 calendar days of receipt of payment by the other source, the provider shall refund to the Department the amount in excess of the maximum payment allowable under the provisions of §B of this regulation that was paid by the Department.</text>
  </paragraph>
  <paragraph num="D.">
    <text>The provider shall immediately reimburse the Department for any overpayment.</text>
  </paragraph>
</regulation>