Providers may be capitated for one of the following packages of services subject to the approval of the Department:

1. A. Inpatient hospital services, as long as the applicant, if regulated by the Health Services Cost Review Commission, has received permission from that agency to receive capitation payments;
2. B. Mental health services, including but not limited to, psychiatric inpatient treatment and community mental health outpatient services;

3. C. Not more than two of the following services or groups of services:

   1. (1) Outpatient hospital services,
   2. (2) Physician services,
   3. (3) Laboratory and X-ray services,
   4. (4) Nursing facility services, EPSDT, and family planning services, and
   5. (5) Home health services;
4. D. Any service covered by the Program other than a service specified in §A or C of this regulation;
5. E. Inpatient hospital services as listed in §A of this regulation, plus one or more of the services included in §D of this regulation; or
6. F. Not more than two of the services listed in §C of this regulation, plus one or more of the services included in §D of this regulation.

Authority: Health-General Article, §§2-104(b), 15-103, and 15-105, Annotated Code of Maryland

Effective date

Regulations .01 — .17 adopted as an emergency provision effective June 14, 1995 (22:14 Md. R. 1051); adopted permanently effective October 23, 1995 (22:21 Md. R. 1616)

Regulation .10I amended effective March 30, 2026 (53:6 Md. R. 291)