The Department shall pay:

1. A. Hospitals, at rates approved by the Health Services Cost Review Commission;

2. B. Physicians, the lesser of the:

   1. (1) Amount billed; or
   2. (2) The Statewide average of prevailing charges for an examination by a physician consultant based on Medicare's 75th percentile as determined according to 42 CFR Sec. 405.504; and

3. C. Transportation providers, if transportation is by:

   1. (1) Ambulance, the lesser of the:

      1. (a) Amount billed; or
      2. (b) The Statewide average of prevailing charges for an ambulance based on Medicare's 75th percentile; or

   2. (2) A law enforcement officer in an emergency vehicle:

      1. (a) The cost per mile based on the county's established rates for emergency vehicles; and
      2. (b) The cost of the law enforcement officer's hourly wage for the number of hours, not to exceed 4 hours, required to transport the emergency evaluee.

Authority: Health-General Article, §10-628, Annotated Code of Maryland

Effective date: May 9, 1994 (21:9 Md. R. 751)