Maryland Administrative Code

.03 Emergency Epinephrine. A. An individual may apply, on a form prescribed by the Department, for a certificate for emergency epinephrine, which shall be valid for up to 1 year if the applicant: (1) Is employed by a participating facility; (2) Is 18 years old or older; and (3) H…

.01 Identification of Purchaser, and Record of Sale. The sale of needles and syringes or other paraphernalia shall be made by the pharmacist only in good faith to patients showing proper identification and indication of need.

.01 Exemption to Allow Sale of Drugs in Vending Machine. A. A person may sell by vending machine or other similar device, nonprescription drugs that alleviate pain in the quantities and form specified in §B of this regulation, and which are exempted from the prohibition of Health…

.01 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Authorized prescriber” means: (a) A licensed dentist, licensed physician, licensed podiatrist, licensed veterinarian, or to the extent permitted under Health Occupations A…

.02 Requirements for an Impoundment Order. A. The Department may issue an impoundment order if: (1) A permit holder's permit or authorized prescriber's license has expired or has been revoked or suspended; (2) An application for a permit or license has been denied; (3) A board ha…

.03 Disposition of Impounded Drugs or Prescription Records. A. If the Department executes an impoundment order against a permit holder or authorized prescriber, the Department shall: (1) Arrange for the drugs or prescription records to be kept in a secure location; (2) Ensure tha…

.01 Scope. This chapter establishes a cancer registry within the Department, defines key terms, details the information to be contained in a cancer report, and specifies requirements of reporting facilities, nursing facilities, assisted living programs, and general hospice care p…

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Assisted living program” has the meaning stated in COMAR 10.07.14.02B. (2) “Cancer registry” means a computerized system to register all cases of reportable human cancer o…

.02-1 Incorporation by Reference. The Maryland Cancer Registry Data Use Manual and Procedures (Maryland Department of Health, July 2016) is incorporated by reference.

.03 Establishment of a Cancer Registry. There is a cancer registry established within the Department, whose purpose is to collect reportable human cancer data and reportable human CNS tumor data to further the cancer control goals of the State.

.04 Cancer Control Goals of the State. A. The cancer control goals of the State are to reduce the incidence and mortality of reportable human cancer and reportable human CNS tumors and racial, ethnic, gender, age, and geographic disparities in reportable human cancer and CNS tumo…

.05 Content of a Cancer Report. A cancer report shall contain the following information, using the standard nomenclature contained in the North American Association of Central Cancer Registries' Standards for Cancer Registries, Volume II, Data Standards and Data Dictionary: A. Re…

.06 Reporting Requirements. A. A reporting facility shall submit a: (1) Cancer report to the Secretary in a computerized file containing standard information required by the Secretary; (2) Computerized file not less than quarterly; and (3) Completed report of any new individual c…

.07 Confidentiality of Cancer Reports. A. Information obtained under this chapter is not a medical record under Health-General Article, §4-301, Annotated Code of Maryland, but is subject to the confidentiality requirements of Health-General Article, §§4-101 — 4-103, Annotated Cod…

.08 Authority and Requirements of the Secretary. A. To assure compliance by a reporting facility, nursing facility, assisted living program, or general hospice care program with Regulation .05 of this chapter, the Secretary may, upon advance notice, inspect a representative sampl…

.01 Scope. A. This chapter defines the reimbursed services for the diagnosis and treatment of breast cancer, cervical cancer, or precancerous cervical lesions, outlines the requirements for patient eligibility, and outlines the reimbursement and billing procedures for the reimbur…

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Admission” means the formal acceptance by a hospital of a patient who is to be provided with room, board, and medically necessary services in an area of the hospital where…

.03 Patient Eligibility. A. To be eligible to have a covered service reimbursed under the Program, an applicant shall: (1) Be a resident; (2) Be screened for breast cancer or cervical cancer, or both, by a: (a) Hospital; (b) Local health department; or (c) Health care provider; (…

.04 Physician Services. A. To be considered a participating physician in the Program, the provider shall: (1) Provide a medical procedure or service related to the diagnosis and treatment of breast cancer, cervical cancer, or a precancerous cervical lesion; (2) Have a current lic…

.04-1 Physician Assistant Services. A. To be considered a participating physician assistant in the Program, the provider shall: (1) Be licensed to practice as a physician assistant in Maryland or a jurisdiction bordering Maryland; (2) Have a current written executed delegation ag…

.04-2 Certified Nurse Midwife Services. A. To be considered a participating certified nurse midwife in the Program, the provider shall: (1) Be a certified nurse midwife in Maryland or a jurisdiction bordering on Maryland and hold all certifications as required by the Maryland Boa…

.05 Nurse Practitioner Services. A. To be considered a participating nurse practitioner in the Program, the provider shall: (1) Be a certified nurse practitioner in Maryland or a jurisdiction bordering Maryland; (2) Have a current written attestation with a physician who is licen…

.06 Nurse Anesthetist Services. A. To be considered a participating nurse anesthetist in the Program, the provider shall: (1) Be a certified nurse anesthetist in Maryland or a jurisdiction bordering Maryland; (2) Be currently collaborating with an anesthesiologist or other physic…

.07 Physical Therapy Services. A. To be considered a participating physical therapist in the Program, the provider shall: (1) Be a physical therapist licensed to practice physical therapy in Maryland or a jurisdiction bordering Maryland; (2) Agree to abide by the provisions set f…

.08 Pharmacy Services. A. To be considered a participating pharmacy in the Program, the provider shall: (1) Obtain a permit from the Department pursuant to Health Occupations Article, Title 12, Annotated Code of Maryland; (2) Agree to abide by the provisions set forth in this reg…

.09 Hospital Services. A. To be considered a participating hospital in the Program, the provider shall: (1) Be licensed as a hospital in Maryland or a jurisdiction bordering Maryland; (2) Agree to abide by the provisions set forth in this regulation by signing and sending to the …

.10 Disposable Medical Supplies and Durable Medical Equipment. A. To be considered a participating medical supply company in the Program, the provider of disposable medical supplies and durable medical equipment shall: (1) To the extent required by law, be licensed and legally au…

.11 Home Health Services. A. To be considered a participating home health services provider in the Program, the provider of home health services shall: (1) Be a home health services provider licensed in Maryland or a jurisdiction bordering Maryland; (2) Agree to abide by the prov…

.12 Medical Laboratory Services. A. To be considered a participating medical laboratory in the Program, the provider shall: (1) Be in compliance with the applicable license requirements for a medical laboratory providing services for Maryland residents including, but not limited …

.13 Freestanding Ambulatory Surgical Center Services. A. To be considered a participating freestanding ambulatory surgical center in the Program, the provider shall: (1) Be Medicare certified to provide ambulatory surgical services in Maryland or a jurisdiction bordering Maryland…

.14 Occupational Therapy Services. A. To be considered a participating occupational therapist in the Program, the provider shall: (1) Be an occupational therapist licensed to practice occupational therapy in Maryland or a jurisdiction bordering Maryland; (2) Agree to abide by the…

.15 Medical Management Fee. A. A participating health care provider eligible to receive a medical management fee may be one of the following: (1) Anesthesiologist; (2) Certified nurse midwife; (3) Family practitioner; (4) Gynecologist; (5) Medical internist; (6) Medical oncologis…

.16 Department, Local Health Department, Hospital, and Health Care Provider Responsibilities. A. The Department is responsible for the following: (1) Developing the necessary administrative forms needed for the Program including, but not limited to, a: (a) Standard application fo…

.17 Reimbursement. A. The Department shall reimburse a participating health care provider only for a medical service or procedure related to the diagnosis and treatment of breast cancer, cervical cancer, or a precancerous cervical lesion for an eligible patient. B. The Department…

.18 Liability. Responsibility for liability for services provided, and for the availability of appropriate insurance coverage, rests with the participating health care provider.

.19 Termination from the Program. A. If the Department determines that a participating health care provider has failed to comply with the applicable regulations of this chapter, the Department may terminate the written agreement with the provider by giving 30 days notice in writi…

.20 Appeal Procedures. A. A provider filing an appeal of the Department’s decision to terminate the provider’s agreement with the Program shall do so according to State Government Article, Title 10, Subtitle 2, Annotated Code of Maryland. B. A provider shall file an appeal within…

.21 Billing and Reimbursement Time Limitations. A. The Program may not reimburse claims received for payment more than 12 months after the date of service except as specified in §§B—D of this regulation. B. To obtain reimbursement from the Program, a health care provider that ori…

.22 Maryland Health Insurance Plan Coverage. A. In lieu of providing direct reimbursement to participating health care providers, the Program may pay MHIP, if available, to provide health coverage for individuals enrolled in the Program who are also eligible for MHIP. B. The Prog…

.23 Funding Availability. Payment under this chapter is contingent on the availability of funds in accordance with State Finance and Procurement Article, §§7-234 and 7-235, Annotated Code of Maryland.

.01 Definitions. A. The following terms have the meanings indicated. B. Terms Defined. (1) “Department” means the Maryland Department of Health. (2) “Diagnosis” means a histopathologic finding of breast cancer in a biopsy specimen. (3) “Treating physician” means an individual aut…

.02 Requirements for the Maryland Department of Health. A. The Department shall provide a standardized written summary in layman's language that: (1) Lists effective methods of treating breast cancer that may be medically practicable including all types of surgical treatment and …

.03 Requirements of Treating Physicians. A. At any time before, but not more than 5 days after, a treating physician informs a patient of a diagnosis of breast cancer, and before treatment, the treating physician shall give the patient: (1) The standardized written summary provid…

.01 Purpose and Scope. A. This chapter: (1) Establishes the requirements for participating medical providers; (2) Sets criteria for applicant eligibility; (3) Outlines services covered; and (4) Delineates the responsibilities of the Department and local health departments for bre…

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Annual gross income” means the total amount of income received by the applicant and, if applicable, the applicant's spouse, each year from all sources before taxes are wit…

.03 Overview of Funding and Delivery of Services. A. The Breast Cancer Program created by Health-General Article, §20-116, Annotated Code of Maryland, provides State funding for breast cancer screening, diagnosis, and treatment for eligible individuals under this chapter. B. Serv…

.04 Eligibility — Breast and Cervical Cancer Program. A. To be eligible to receive breast cancer services under this chapter through the Breast and Cervical Cancer Program, an applicant shall: (1) Be a resident of Maryland; (2) Be 40 years old or older; (3) Meet the financial eli…