Md. Code Regs. 10.67.06.02

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

Section 10.67.06.02 - Benefits - Primary Care Services

An MCO shall provide to its enrollees medically necessary primary care services that are provided:

A. By the enrollee's PCP;

B. At the direction of the enrollee's PCP; or

C. With respect to a primary care service that is self-referred pursuant to Regulation .28 of this chapter:

(1) By an appropriate practitioner, acting within the scope of the practitioner's license, certification, or other legal authorization, and in accordance with the practitioner's training and experience; or

(2) By a clinic that furnishes health care services by or under the direction of a physician.

Md. Code Regs. 10.67.06.02

Regulations .02 recodified from 10.09.67.02 effective 46:22 Md. R. 976, eff. 11/1/2019