Md. Code Regs. 10.11.03.11

Current through Register Vol. 51, No. 25, December 13, 2024

Section 10.11.03.11 - General Conditions of Provider Participation

A. A provider of services which are covered by the CMS Program shall comply with the following general requirements:

(1) For fee for service reimbursement, be approved by Medical Assistance in writing as a Medical Assistance provider;

(2) For copay and deductible reimbursement, be a participating provider with the insurance plan purchased by the CMS Program for the family;

(3) Request preauthorization on the forms designated by the CMS Program;

(4) Adhere to administrative procedures that are established by the CMS Program for the specific treatment services; and

(5) Maintain adequate records, including prescriptions, for a minimum of 6 years, and make them available upon request to the Department or the Department's designee.

B. he approval referenced in §A(1) of this regulation shall specify, at a minimum, the following:

(1) Approved services which may be provided; and

(2) Duration of approval status.

Md. Code Regs. 10.11.03.11

Regulations .11 repealed effective November 28, 1988 (15:24 Md. R. 2769)
------ Regulations .11 adopted effective November 28, 1988 (15:24 Md. R. 2769)
Regulations .11 amended and recodified from Regulation .14 effective 42:7 Md. R. 568, eff.4/13/2015