Medical and Pharmacy Assistance Programs | Midpage

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Maryland Code

Health—General

1

Medical and Pharmacy Assistance Programs

State of Maryland

15-101Definitions 15-101.1Managed care organizations not subject to insurance laws 15-102Services for indigent, medically indigent individuals 15-102.1Legislative findings 15-102.2Application of rehabilitation and liquidation provisions 15-102.3Application of provider participation standards, prompt payment, and financial affairs examination provisions 15-102.4Surplus requirements 15-102.5Distribution of enrollees among providers 15-102.6Application of Insurance Article, Title 7 and of Title 4, Subtitle 5 15-102.7Premium tax 15-102.8Medicaid claims processing charge 15-103Maryland Medical Assistance Program 15-103.1Cost effectiveness of health care system 15-103.2Dental services; administration, proposals 15-103.3HealthChoice Performance Incentive Fund 15-103.4Temporary credentials 15-103.5Review of rates paid to providers 15-103.6Specialty mental health and substance use disorder services 15-103.7Value-based purchasing program 15-103.8Restrictions on admissions for psychiatric inpatient care 15-104Contracts with Department of Human Resources 15-105Reimbursement rules and regulations 15-105.1Electronic reimbursement 15-105.2Reimbursement of health care providers 15-106Review of health care provided 15-107Submission of cost reports 15-108Field verifications; appeals 15-109Allowable income levels 15-109.1Advance directive information sheets; availability 15-109.2Mental disease treatment; incarceration, admission 15-110Reimbursement of acute general and chronic care hospitals 15-111Reimbursement of elderly day care centers 15-112Reimbursement of physicians 15-113Reimbursement of public institutions 15-114Reimbursement of related institutions 15-114.1Reimbursement of emergency service transporter 15-115Placement of patients in nursing facilities 15-116Reimbursement of skilled nursing facility 15-117Reserved beds in nursing facilities 15-118Prescription drugs; use, reimbursement 15-118.1Drugs not considered specialty drugs 15-119Abrogated by Acts 2005, c. 444, § 41, eff. July 1, 2007 15-120Subrogation of Department 15-121Reimbursement from estates 15-121.1Subrogation claims under Insurance §§ 19-505 and 19-506 15-121.2Subrogation under Insurance §§ 19-509 and 19-510 15-121.3Assignment of subrogation right 15-122Spouse responsible for payments 15-122.1Depreciation; repayment, reimbursement 15-122.2Receipt of converted funds; interception of state tax refund 15-122.3Personal needs allowance for guardianship fees 15-123Health care provider fraud 15-123.1Repealed by Acts 2000, c. 259, § 1, eff. Oct. 1, 2000 15-124Repealed by Acts 2016, c. 321, § 3, eff. July 1, 2016 15-124.1Repealed by Acts 2005, c. 281, § 2, and Acts 2005, c. 282, § 2, eff. Jan. 1, 2006 15-124.2Maryland Medbank Program 15-124.3Medicare Option Prescription Drug Program 15-125Children with disabilities; services 15-126Children with disabilities; educational programs 15-127Repealed by Acts 2018, c. 422, § 1, eff. July 1, 2018 15-128Reimbursement for hospice care program 15-129Durable medical equipment, generally 15-130Seriously emotionally disturbed individuals; funding 15-130.1Psychiatric residential treatment demonstration waiver 15-131Integrated care systems for adults with functional disabilities 15-132Home and community based services waiver 15-132.1Self-employed providers; withholding income taxes 15-133Federal grant applications 15-134Medical Assistance Program waivers; modifications, and amendments 15-134.1Impact of absence from State due to out-of-state military assignment 15-135Information about home-based and community-based services provided to nursing facility residents 15-136Maryland Pharmacy Access Hotline 15-137Home- and community-based services waiver 15-138EID Program 15-139Community-based services for children with disabilities 15-140Application for State plan amendment 15-141Repealed by Acts 2022, c. 302, § 1; Acts 2022, c. 303, § 1, eff. January 1, 2023 15-141.1Collaborative Care Model 15-141.2Program to provide telehealth services to Program recipients regardless of the Program recipient's location at the time telehealth services are provided 15-141.3Community violence prevention services 15-141.4Doula services 15-141.5Remote ultrasound procedures or remote fetal nonstress tests 15-141.6Coverage for self-measured blood pressure monitoring 15-142Fair Share Health Care Fund 15-143Immigrant health initiative funding 15-144Abrogated by Acts 2007, c. 542, § 2, eff. July 1, 2013; Acts 2007, c. 543, § 2, eff. July 1, 2013 15-145Information about eligible individuals, Program recipients 15-146Eligibility for Program long-term care services 15-147Former officials or employees who have not participated significantly in a contract 15-148Prior authorization requirement for contraceptive drug or device prohibited 15-149Presence or availability of the parent or caregiver of the Program recipient 15-150Plans to reduce the waitlists for waiver programs 15-151Gender-affirming treatment 15-152Services rendered by a licensed pharmacist 15-153Annual evaluation of reimbursement rates for dental services 15-154Autism waivers; relocation out of state for military service 15-155Prenatal risk assessment forms 15-156Personal care aide wage reports 15-157Medicaid Primary Care Program Fund 15-158Prior authorizations for transfers to special pediatric hospitals 15-159Coverage for the delivery of anesthesia; time limitations