Md. Code Regs. 10.09.09.04

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.09.09.04 - Covered Services

The Program covers the following services:

A. Medically necessary laboratory services, when the services are:

(1) Rendered to participants in a physician's office, hospital, freestanding clinic, or medical laboratory;

(2) Provided according to the laws and regulations of the state and locality in which they are rendered;

(3) Rendered pursuant to a properly completed order or standing order;

(4) Adequately documented in the provider's files;

(5) Clinical and diagnostic services for which certification by the Centers for Medicare and Medicaid Services (CMS) under CLIA exists, if required; and

(6) Ordered by an individual who is enrolled as a provider in the Program with an active status on the date of service;

B. Transportation of specimens by medical laboratories when special handling is required by medical necessity when documentation is supplied to the provider by the authorized ordering practitioner; and

C. Collection of specimens by venipuncture, capillary puncture, or arterial puncture.

Md. Code Regs. 10.09.09.04

Regulation .04A amended effective September 21, 1979 (6:19 Md. R. 1518); August 22, 1988 (15:17 Md. R. 2049); February 6, 1989 (16:2 Md. R. 159)
Regulation .04A amended as an emergency provision effective September 16, 1992 (19:20 Md. R. 1812); amended permanently effective January 1, 1993 (19:25 Md. R. 2205)
Regulation .04C adopted effective July 11, 1988 (15:14 Md. R. 1654)
Regulation .04 amended effective September 18, 2000 (27:18 Md. R. 1665)
Regulation .04A amended effective April 29, 2002 (29:8 Md. R. 700); amended effective 44:26 Md. R. 1214, eff. 1/1/2018; amended effective 50:14 Md. R. 593, eff. 7/24/2023