COMAR



COMAR |Title |PURPOSE |AELR DATE |MD REGISTER DATE |APPROVED |COMMENTS | |10.09.05

(.01-.07, .09, .10)

Emergency and Proposed |Dental Services |The purpose of this action is to update dental terminology and services in order to be consistent with the standard terminology and services used in the dental community and by the American Dental Association and to prepare for the administration of the Dental Program by the Administrative Service Organization (ASO) effective July 1, 2009. |06/04/2009 |07/17/2009 | |Rate change after original submission. Modified and resubmitted to AELR.

Emergency approved 07/16/2009 | |10.09.02 (.07)

Proposed |Physicians’ Services

|The purpose of this proposal is to revise the Medical Assistance Program’s Physicians’ Services Provider Fee Manual by incorporating the American Medical Association’s Current Procedural Terminology (CPT) additions and deletions for 2009, and to decrease physician fees for certain evaluation and management, surgical, radiological and medical services and procedures because of projected Departmental budget deficits. |07/09/2009

|08/14/2009

|11/16/2009 | | |10.09.45

(.01-.13)

Emergency and Proposed |Mental Health Case Management

|The purpose of this action is to update the regulations as the Department is reinstituting targeted case management as a result of legislative action taken in the 2009 General Assembly that resulted in a budget reduction. The Department is repealing COMAR 10.09.45, to be replaced with all new text under the same chapter. The legislature has required DMHM to reapply to the Center for Medicaid and Medicare Services for Medicaid State Plan amendment to implement Medicaid-reimbursed mental health case management services. |7/29/2009

|09/11/2009

| |Emergency approved 08/21/2009 | |10.09.55 (.02, .27, .29, .new 15-3, .26-3)

Proposed |Living At Home Waiver Program |The purpose of this action is to include budget limitation language to payment procedures. In addition, the Living at Home Waiver Program will be including the regulations to cover case management as a waiver service. The Living at Home Waiver previously offered case management as an administrative service. |07/28/2009 |09/11/2009 | | | |10.09.65 (.19)

10.09.65 (.14) |Maryland Medicaid Managed Care Program: Managed Care Organizations

Primary Adult Care. |To implement the mid-year adjustment to the calendar year 2009 MCO’s HealthChoice and PAC capitation rates. |9/9/2009 |10/23/2009 | | | |10.09.46 (.02)

Proposed |Home and Community-Based Services Waiver for Adults with Traumatic Brain Injury |The purpose of this proposal is to change participant eligibility requirements to allow individuals in the Employed Individuals with Disabilities (EID) Program to participate in the Traumatic Brain Injury Waiver (TBI). |09/14/2009 |10/23/2009 | | | |10.09.27 (.06)

Proposed |Home Care for Disabled Children Under a Model Waiver |The purpose of this action is to include budget limitation language to payment procedures and maintain the current rate of reimbursement for certified nursing assistant and home health aide services in accordance with the Department's budget for Fiscal Year 2010. |09/30/2009 |11/6/2009 | | | |10.09.68 (.02 and .03)

Proposed |Maryland Medicaid Managed Care Program: School-Based Health Centers. |The purpose of this action is to allow HealthChoice enrollees to receive self-referred primary care services at school-based health centers. |09/08/2009 |11/06/2009 | | | |10.09.54 (.33)

Proposed |Home/Community Based Services Waiver for Older Adults |The purpose of this action is to include transition services language to payment procedures. In addition, the proposal will add budget limitation language to payment procedures, will maintain rates at Fiscal Year 2009 levels during the period July 1, 2009 through September 30, 2009, and will reduce provider reimbursement rates by 2 percent effective October 1, 2009. |10/26/2009 | | | | |10.09.56 (.22)

Proposed |Waiver for Children with Autism Spectrum Disorder |The purpose of this action is to include budget limitation language to payment procedures which will maintain rates at Fiscal Year 2009 levels during the period July 1, 2009 through September 30, 2009, and will reduce provider reimbursement rates by 2 percent effective October 1, 2009. |10/26/2009 | | | | |10.09.07 (.04, .08)

Proposed |Medical Day Care |The purpose of this action is to add budget limitation language that will maintain rates at Fiscal Year 2009 levels during the period July 1, 2009 through September 30, 2009, and will reduce the provider reimbursement rate by 2 percent effective October 1, 2009. In addition, the staffing requirements for registered nurses are established. |10/27/2009 | | | | |10.09.11 (.07-.09)

10.09.24 (.04, .07)

10.09.60 (.12) |Maryland Children’s Health Program

Medical Assistance Eligibility

Primary Adult Care Program

|The purpose of this action is to amend and clarify requirements specified in regulations relating to signatures required on an application, child care expenses, self-employment income disregards, and exclusions to income so that regulations are consistent with policy and procedures implemented as a result of : 1) The expansion of Medical Assistance (MA) eligibility coverage to families and children and 2) Exclusions to income included in Policy Alert No. 07-1 of the Maryland MA Eligibility Policy Manual. |10/29/2009 | | | | |10.09.23 (.01-.12)

10.09.37 (Repeal)

Emergency and Proposed |Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Services

Expanded Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Referred |The purpose of this action is to repeal two chapters of regulations, COMAR 10.09.23 Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Screening Services and COMAR 10.09.37 Expanded Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Referred Services, and promulgate a new unified chapter under COMAR 10.09.23. The purpose of the consolidation is to bring the screening, diagnosis and treatment requirements together in one chapter so that readers can more easily understand all the benefits and requirements of the EPSDT program. Additionally, environmental lead investigations will be added as a service, which is consistent with a State Plan Amendment submitted to the Centers for Medicare & Medicaid Services (CMS). |10/29/2009 | | | | |10.09.20 (.02, .03, .07)

Proposed |Personal Care Services |The purpose of this action is to specify that the per diem annual rate adjustments shall be subject to the limitations of the State budget; clarify the licensing and/or certification requirements for Assisted Living Facilities, Residential Service Agencies, and individual providers; and add language which allows the Department or its designee to request physician approval of providers’ health status beyond the initial application period. |11/10/2009 | | | | |10.09.53 |Early and Periodic Screening, Diagnosis, and Treatment: Private Duty Nursing |The purpose of this action is to include budget limitation language to payment procedures and maintain the current rate of reimbursement for private duty nursing services in accordance with the Department’s budget for Fiscal Year 2010. |11/10/2009 | | | | |

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