• English

    Google Translate Disclaimer

    The Maryland Department of Information Technology (“DoIT”) offers translations of the content through Google Translate. Because Google Translate is an external website, DoIT does not control the quality or accuracy of translated content. All DoIT content is filtered through Google Translate which may result in unexpected and unpredictable degradation of portions of text, images and the general appearance on translated pages. Google Translate may maintain unique privacy and use policies. These policies are not controlled by DoIT and are not associated with DoIT’s privacy and use policies. After selecting a translation option, users will be notified that they are leaving DoIT’s website. Users should consult the original English content on DoIT’s website if there are any questions about the translated content.

    DoIT uses Google Translate to provide language translations of its content. Google Translate is a free, automated service that relies on data and technology to provide its translations. The Google Translate feature is provided for informational purposes only. Translations cannot be guaranteed as exact or without the inclusion of incorrect or inappropriate language. Google Translate is a third-party service and site users will be leaving DoIT to utilize translated content. As such, DoIT does not guarantee and does not accept responsibility for, the accuracy, reliability, or performance of this service nor the limitations provided by this service, such as the inability to translate specific files like PDFs and graphics (e.g. .jpgs, .gifs, etc.).

    DoIT provides Google Translate as an online tool for its users, but DoIT does not directly endorse the website or imply that it is the only solution available to users. All site visitors may choose to use alternate tools for their translation needs. Any individuals or parties that use DoIT content in translated form, whether by Google Translate or by any other translation services, do so at their own risk. DoIT is not liable for any loss or damages arising out of, or issues related to, the use of or reliance on translated content. DoIT assumes no liability for any site visitor’s activities in connection with use of the Google Translate functionality or content.

    The Google Translate service is a means by which DoIT offers translations of content and is meant solely for the convenience of non-English speaking users of the website. The translated content is provided directly and dynamically by Google; DoIT has no direct control over the translated content as it appears using this tool. Therefore, in all contexts, the English content, as directly provided by DoIT is to be held authoritative.

    Maryland Register
    Issue Date:  June 9, 2017
    Volume 44 • Issue 12 • Pages 590—591
    Title 10
    10.09.02 Physicians’ Services
    Authority: Health-General Article, §§2-104(b), 15-103, and 15-105, Annotated Code of Maryland
    Notice of Proposed Action
    The Secretary of Health and Mental Hygiene proposes to amend Regulations .03, .04, .06, and .07 under COMAR 10.09.02 Physicians’ Services.
    Statement of Purpose
    The purpose of this action is to update the Professional Services Provider Manual and Fee Schedule (formerly The Physicians’ Services Fee Schedule) to the January 2017 version. Rates that exceeded 100 percent of the Medicare rate have been decreased to 100 percent of the 2017 Medicare rates for protected specialties (obstetrics/gynecology, neurosurgery, and orthopedic services). Other specialties with rates higher than Medicare rates were reduced to 90 percent of the corresponding 2017 Medicare rates. As a result of the reduction in rates of other specialties, the lowest rates of reimbursement have been increased to 72 percent of the 2017 Medicare rate. In addition, this proposal updates language regarding the scope of practice for the nurse practitioners.
    Comparison to Federal Standards
    There is no corresponding federal standard to this proposed action.
    Estimate of Economic Impact
    The proposed action has no economic impact.
    Economic Impact on Small Businesses
    The proposed action has minimal or no economic impact on small businesses.
    Impact on Individuals with Disabilities
    The proposed action has no impact on individuals with disabilities.
    Opportunity for Public Comment
    Comments may be sent to Michele Phinney, Director, Office of Regulation and Policy Coordination, Department of Health and Mental Hygiene, 201 West Preston Street, Room 512, Baltimore, MD 21201, or call 410-767-6499 (TTY 800-735-2258), or email to dhmh.regs@maryland.gov, or fax to 410-767-6483. Comments will be accepted through July 10, 2017. A public hearing has not been scheduled.
    Editor’s Note on Incorporation by Reference
                    Pursuant to State Government Article, §7-207, Annotated Code of Maryland, the Professional Services Provider Manual and Fee Schedule (Maryland Medical Assistance Program Effective January 1, 2017) has been declared a document generally available to the public and appropriate for incorporation by reference. For this reason, it will not be printed in the Maryland Register or the Code of Maryland Regulations (COMAR). Copies of this document are filed in special public depositories located throughout the State. A list of these depositories was published in 44:1 Md. R. 9 (January 6, 2017), and is available online at www.dsd.state.md.us. The document may also be inspected at the office of the Division of State Documents, 16 Francis Street, Annapolis, Maryland 21401.
    .03 Conditions for Participation.
    A. (text unchanged)
    B. Specific requirements for participation in the Program as a physicians’ services provider require that the provider:
    (1)—(5) (text unchanged)
    (6) Shall agree to identify by the individual physician practitioner’s identification number each physician assistant [or nurse practitioner] who is authorized by the physician to request laboratory services; and
    (7) (text unchanged)
    .04 Covered Services.
    The Program covers the following medically necessary services rendered to recipients:
    A. Physicians’ services rendered in the physician’s office, the recipient’s home, a hospital, a skilled or intermediate care nursing facility, a freestanding clinic, or elsewhere when these services are:
    (1) Performed by the physician or one of the following:
    (a)—(b) (text unchanged)
    (c) A certified nurse midwife [or a certified nurse practitioner provided that the individual performs the services within the scope of the individual’s license or certification] who performs medically necessary services within the provider’s scope of practice as described in COMAR 10.27.05; and
    (d) A certified nurse practitioner who performs medically necessary services within the provider’s scope of practice as described in COMAR 10.27.07.
    (2)—(3) (text unchanged) 
    B.—I. (text unchanged)
    .06 Preauthorization Requirements.
    A.—D. (text unchanged) 
    E. Preauthorization normally required by the Program is waived when the service is covered and approved by Medicare. [However, if the entire or any part of a claim is rejected by Medicare, and the claim is referred to the Program for payment, payment will be made for services covered by the Program only if authorization for those services has been obtained before billing.] Non-Medicare claims require preauthorization according to §§A—D of this regulation.
    F. (text unchanged)
    .07 Payment Procedures.
    A.C. (text unchanged) 
    D. The Maryland Medical Assistance Program’s procedures for payment are contained in the Professional Services Provider Manual and Fee Schedule (Effective [October 2016] January 2017). All the provisions of this document, unless specifically excepted, are incorporated by reference.
    E.Q. (text unchanged)
    Secretary of Health and Mental Hygiene