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Md. Code Regs. 10.09.69 – Maryland Medicaid Managed Care Program: Rare and Expensive Case Management | Midpage
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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
.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.