# COMAR Title 10 — Maryland Department of Health

## Subtitle 22 — Developmental Disabilities

### Chapter 17 — Fee Payment System for Licensed Residential and Day Programs

#### Regulation .11 Payment For Supplemental Services.

*COMAR 10.22.17.11*

A. The Administration shall pay the lower of either:

  (1) Reasonable customary and actual costs not to exceed the cost to the general public; or

  (2) Medicaid-approved rates.

B. Reasonable customary and actual costs are determined and authorized by the Administration before the delivery of the service.

C. The Department shall reimburse the providers for preauthorized supplemental services upon submission of an invoice.