A. The Program covers medically necessary services rendered to recipients, when the services are:
- (1) Provided according to the laws and regulations of the State and locality in which they are rendered in accordance with 42 CFR §486.100;
- (2) Rendered by a physician who meets the qualification standards in accordance with 42 CFR §486.102 or qualified non-physician (technician) who meets the qualification standards in accordance to 42 CFR §486.104; and
- (3) Ordered in writing by the treating physician or nurse practitioner who is enrolled as a provider in the Program with an active status on the date of service in accordance with State law.
B. Portable X-ray services include the following:
- (1) Skeletal films involving extremities, pelvis, vertebral column, and skull;
- (2) Chest films which do not involve the use of contrast media;
- (3) Abdominal films which do not involve the use of contrast media;
- (4) Diagnostic mammograms, if approved by the FDA;
- (5) Transportation of portable X-ray equipment to a patient’s home or a long term care facility (LTCF); and
- (6) Electrocardiograms (EKGs/ECGs).
Authority: Health-General Article, §§2-104(b), 15-103, and 15-105, Annotated Code of Maryland
Effective date: April 28, 2014 (41:8 Md. R. 472)
Regulation .04A amended effective January 1, 2018 (44:26 Md. R. 1214)
Regulation .05A amended effective January 1, 2018 (44:26 Md. R. 1214)
Regulation .05K adopted effective January 1, 2018 (44:26 Md. R. 1214)
Regulation .07C, I amended effective July 4, 2016 (43:13 Md. R. 712)
Regulation .07D amended effective February 27, 2017 (44:4 Md. R. 252)
Regulation .07J adopted effective January 1, 2018 (44:26 Md. R. 1214)