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Md. Code Regs. 10.67.06 – Maryland Medicaid Managed Care Program: Benefits | Midpage
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Code of Maryland Regulations
Title 10
§ 67
Chapter 06
Md. Code Regs. 10.67.06
Maryland Medicaid Managed Care Program: Benefits
Effective Apr 28, 2025
.01
Required Benefits Package — In General.
.02
Benefits — Primary Care Services.
.03
Benefits — Physician and Advanced Practice Nurse Specialty Care Services.
.04
Benefits — Pharmacy Services.
.05
Benefits — Home Health Services.
.06
Benefits — Habilitation Services for Medicaid Expansion Populations
.07
Benefits — Inpatient Hospital Services.
.08
Benefits — Outpatient Hospital Services.
.09
Benefits — Transplants.
.10
Benefits — Substance Abuse Treatment Service — Repealed
.11
Benefits — Diagnostic and Laboratory Services.
.12
Benefits — Long-Term Care Facility Services.
.13
Benefits — Disposable Medical Supplies and Durable Medical Equipment.
.14
Benefits — Vision Care Services.
.15
Benefits — Podiatry Services.
.16
Benefits — Outpatient Rehabilitative Services.
.17
Benefits — Oxygen and Related Respiratory Equipment.
.18
Benefits — Dialysis Services.
.19
Benefits — Family Planning Services.
.20
Benefits — EPSDT Services.
.21
Benefits — Pregnancy-Related Services.
.22
Benefits — Case Management Services for HIV-Infected Individuals.
.23
Benefits — Hospice Care Services.
.24
Benefits — Diabetes Prevention and Care Services.
.25
Benefits — Blood and Blood Products.
.26
Benefits — Primary Mental Health Services.
.26-1
Clinical Trial Items and Services — Coverage for Routine Costs.
.26-2
Plastic and Restorative Surgery.
.26-3
Gender- Affirming Treatment.
.26-4
Audiology.
.26-5
Remote Patient Monitoring.
.26-6
Mobile Integrated Health Services.
.26-7
Social Determinants of Health.
.27
Benefits — Limitations.
.28
Benefits — Self-Referral Services.
.29
Optional Services.
.30
Fertility Preservation.
.31
Benefits — Telemedicine Services.