Medical and Pharmacy Assistance Programs
State of Maryland
15-101Definitions15-101.1Managed Care Organizations Not Subject to Insurance Laws15-102Services for Indigent, Medically Indigent Individuals15-102.1Legislative Findings15-102.2Application of Rehabilitation and Liquidation Provisions15-102.3Application of Provider Participation Standards, Prompt Payment, and Financial Affairs Examination Provisions15-102.4Surplus Requirements15-102.5Distribution of Enrollees Among Providers15-102.6Application of Insurance Article, Title 7 and of Title 4, Subtitle 515-102.7Premium Tax15-102.8Medicaid Claims Processing Charge15-103Maryland Medical Assistance Program15-103.1Cost Effectiveness of Health Care System15-103.2Dental Services; Administration, Proposals15-103.3Healthchoice Performance Incentive Fund15-103.4Temporary Credentials15-103.5Review of Rates Paid to Providers15-103.6Specialty Mental Health and Substance Use Disorder Services15-103.7Value-Based Purchasing Program15-103.8Restrictions on Admissions for Psychiatric Inpatient Care15-104Contracts with Department of Human Resources15-105Reimbursement Rules and Regulations15-105.1Electronic Reimbursement15-105.2Reimbursement of Health Care Providers15-106Review of Health Care Provided15-107Submission of Cost Reports15-108Field Verifications; Appeals15-109Allowable Income Levels15-109.1Advance Directive Information Sheets; Availability15-109.2Mental Disease Treatment; Incarceration, Admission15-110Reimbursement of Acute General and Chronic Care Hospitals15-111Reimbursement of Elderly Day Care Centers15-112Reimbursement of Physicians15-113Reimbursement of Public Institutions15-114Reimbursement of Related Institutions15-114.1Reimbursement of Emergency Service Transporter15-115Placement of Patients in Nursing Facilities15-116Reimbursement of Skilled Nursing Facility15-117Reserved Beds in Nursing Facilities15-118Prescription Drugs; Use, Reimbursement15-118.1Drugs Not Considered Specialty Drugs15-119Abrogated by Acts 2005, C. 444, § 41, eff. July 1, 200715-120Subrogation of Department15-121Reimbursement from Estates15-121.1Subrogation Claims Under Insurance §§ 19–505 and 19–50615-121.2Subrogation Under Insurance §§ 19–509 and 19–51015-121.3Assignment of Subrogation Right15-122Spouse Responsible for Payments15-122.1Depreciation; Repayment, Reimbursement15-122.2Receipt of Converted Funds; Interception of State Tax Refund15-122.3Personal Needs Allowance for Guardianship Fees15-123Health Care Provider Fraud15-123.1Repealed by Acts 2000, C. 259, § 1, eff. Oct. 1, 200015-124Repealed by Acts 2016, C. 321, § 3, eff. July 1, 201615-124.1Repealed by Acts 2005, C. 281, § 2, and Acts 2005, C. 282, § 2, eff. Jan. 1, 200615-124.2Maryland Medbank Program15-124.3Medicare Option Prescription Drug Program15-125Children with Disabilities; Services15-126Children with Disabilities; Educational Programs15-127Repealed by Acts 2018, C. 422, § 1, eff. July 1, 201815-128Reimbursement for Hospice Care Program15-129Durable Medical Equipment, Generally15-130Seriously Emotionally Disturbed Individuals; Funding15-130.1Psychiatric Residential Treatment Demonstration Waiver15-131Integrated Care Systems for Adults with Functional Disabilities15-132Home and Community Based Services Waiver15-132.1Self-Employed Providers; Withholding Income Taxes15-133Federal Grant Applications15-134Medical Assistance Program Waivers; Modifications, and Amendments15-134.1Impact of Absence from State Due to Out-of-State Military Assignment15-135Information About Home-Based and Community-Based Services Provided to Nursing Facility Residents15-136Maryland Pharmacy Access Hotline15-137Home- and Community-Based Services Waiver15-138Eid Program15-139Community-Based Services for Children with Disabilities15-140Application for State Plan Amendment15-141Repealed by Acts 2022, C. 302, § 1; Acts 2022, C. 303, § 1, eff. January 1, 202315-141.1Collaborative Care Model15-141.2Program to Provide Telehealth Services to Program Recipients Regardless of the Program Recipient's Location at the Time Telehealth Services Are Provided15-141.3Community Violence Prevention Services15-141.4Doula Services15-141.5Remote Ultrasound Procedures or Remote Fetal Nonstress Tests15-141.6Coverage for Self-Measured Blood Pressure Monitoring15-142Fair Share Health Care Fund15-143Immigrant Health Initiative Funding15-144Abrogated by Acts 2007, C. 542, § 2, eff. July 1, 2013; Acts 2007, C. 543, § 2, eff. July 1, 201315-145Information About Eligible Individuals, Program Recipients15-146Eligibility for Program Long–Term Care Services15-147Former Officials or Employees Who Have Not Participated Significantly in a Contract15-148Prior Authorization Requirement for Contraceptive Drug or Device Prohibited15-149Presence or Availability of the Parent or Caregiver of the Program Recipient15-150Plans to Reduce the Waitlists for Waiver Programs15-151Gender-Affirming Treatment15-152Services Rendered by a Licensed Pharmacist15-153Annual Evaluation of Reimbursement Rates for Dental Services15-154Autism Waivers; Relocation Out of State for Military Service15-155Prenatal Risk Assessment Forms15-156Personal Care Aide Wage Reports15-157Medicaid Primary Care Program Fund15-158Prior Authorizations for Transfers to Special Pediatric Hospitals15-159Coverage for the Delivery of Anesthesia; Time Limitations