<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".08" citation="COMAR 10.22.18.08" title_num="10" subtitle_num="22" chapter_num="18" heading="Payment For Supplemental Services.">
  <paragraph num="A.">
    <text>The Administration shall pay the lower of either:</text>
    <paragraph num="(1)">
      <text>Reasonable customary and actual costs not to exceed the cost to the general public; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Medicaid-approved rates.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Reasonable customary and actual costs are determined and authorized by the Administration before the delivery of the service.</text>
  </paragraph>
  <paragraph num="C.">
    <text>The Department shall reimburse the licensee for preauthorized supplemental services upon submission of an invoice.</text>
  </paragraph>
</regulation>