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Code of Maryland Regulations
Title 10
§ 09
Chapter 69
Md. Code Regs. 10.09.69
Maryland Medicaid Managed Care Program: Rare and Expensive Case Management
Effective Jun 24, 2024
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.01
Purpose.
.02
Definitions.
.03
REM Eligibility.
.04
Participant Enrollment and Disenrollment.
.05
Benefits.
.06
Requirements for Provider Qualification.
.07
Conditions for Participation — General Requirements.
.08
Specific Conditions for Provider Participation.
.09
Covered Services — General Requirements.
.10
Covered Services.
.11
Covered Optional Services — Private Duty Nursing, Certified Nursing Assistant, Certified Nursing Assistant Certified as a Certified Medication Technician, Home Health Aide and Home Health Aide Certified as a Certified Medication Technician.
.12
Limitations.
.13
Preauthorization Requirements.
.14
Payment Procedures — Request for Payment.
.15
Recovery and Reimbursement.
.16
Cause for Suspension or Removal and Imposition of Sanctions.
.17
Table of Rare and Expensive Disease Diagnosis.
.18
Appeals Procedures.