Md. Code Regs. 10.09.77.04

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

Section 10.09.77.04 - Covered Services

The Program covers the following medically necessary services rendered to participants in a free-standing urgent care center:

A. Acute illnesses with a sudden onset;

B. Minor trauma;

C. Diagnostic, preventive, curative, palliative, rehabilitative, or ameliorative services, when clearly related to the participant's individual needs;

D. Urgent care services, when the services are performed by a physician or one of the following acting within the scope of their practice:

(1) licensed physician assistant;

(2) A licensed registered nurse; or

(3) A certified nurse practitioner [provided that the individual performing the service is in the physician's employ and performs the services within the scope of the individual's license or certification]; and

E. Laboratory services as governed by Regulation .02 of this chapter.

Md. Code Regs. 10.09.77.04

Regulation .04 amended effective 44:8 Md. R. 404, eff. 4/24/2017; amended effective 50:13 Md. R. 512, eff. 7/10/2023