<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.25.10.05" title_num="10" subtitle_num="25" chapter_num="10" heading="Who May Request Payment.">
  <paragraph num="A.">
    <text>A trauma physician or trauma health care practitioner as defined in Regulation .02 of this chapter may request payment under this chapter.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Medicaid and Uncompensated Care Reimbursement.</text>
    <paragraph num="(1)">
      <text>Trauma Practitioner Services. A faculty practice plan, a physician practice, a trauma center on behalf of the trauma physician or trauma health care practitioner, or an individual trauma physician or individual health care practitioner allowed to bill Medicaid may submit requests for payment for trauma services provided to a Medicaid trauma patient or for uncompensated care trauma services if:</text>
      <paragraph num="(a)">
        <text>Those services are provided to a trauma patient during the service period as defined in this chapter; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The practitioner meets the definition of a trauma physician or trauma health care practitioner under Regulation .02 of this chapter.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Emergency Physician Services.</text>
      <paragraph num="(a)">
        <text>The total reimbursement from the Fund to emergency physicians practicing at any one trauma center may not exceed $300,000 annually.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>An emergency room physician:</text>
        <paragraph num="(i)">
          <text>Is eligible for uncompensated care shortfall payments only; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>May not receive Medicaid differential payments or on-call payments from the Fund.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>On-Call Payments. The following trauma centers may apply for on-call payments:</text>
    <paragraph num="(1)">
      <text>A MIEMSS-designated Level I trauma center or pediatric trauma center;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Level II and Level III trauma centers; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The Specialty Referral Centers.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Standby Payments. An out-of-State pediatric trauma center that has entered into an agreement with MIEMSS may apply for an annual grant to subsidize standby costs.</text>
  </paragraph>
</regulation>