PROPOSAL
Maryland Register
Issue Date: December 9, 2016
Volume 43 • Issue 25• Pages 1393—1394
Title 10
DEPARTMENT OF HEALTH AND MENTAL HYGIENE
Subtitle 09 MEDICAL CARE PROGRAMS
Notice of Proposed Action
[16-325-P-I]
The Secretary of Health and Mental Hygiene proposes to:
(1) Amend Regulation .07 under COMAR 10.09.14 Vision Care Services;
(2) Amend Regulation .06 under COMAR 10.09.17 Physical Therapy Services;
(3) Adopt new Regulation .01-1 and amend Regulation .07 under COMAR 10.09.23 Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services; and
(4) Amend Regulation .07 under COMAR 10.09.51 Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Audiology Services.
Statement of Purpose
The purpose of this action is to incorporate by reference the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Provider Manual. This proposal also updates references to this document in other chapters.
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 January 9, 2016. 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 Early Periodic, Screening, Diagnosis, and Treatment (EPSDT) Provider Manual (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 43:1 Md. R. 10 (January 8, 2016), 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.
10.09.14 Vision Care Services
Authority: Health-General Article, §§2-104(b), 15-103, and 15-105, Annotated Code of Maryland
.07 Payment Procedures.
A.—D. (text unchanged)
E. [The Maryland Medicaid Vision Services—Provider Type 12, Procedure Code and Fee Schedule—2008 is contained in the Medical Assistance Provider Fee Manual, dated October 1, 1986, all the provisions of which are incorporated by reference] Vision care services are reimbursed according to COMAR 10.09.23.01-1.
F.—N. (text unchanged)
10.09.17 Physical Therapy Services
Authority: Health-General Article, §§2-104(b), 15-103, and 15-105, Annotated Code of Maryland
.06 Payment Procedures.
A.—D. (text unchanged)
E. The [fee schedule for] services covered in this chapter [is contained in the Maryland Medical Assistance Program Physicians’ Services Provider Fee Manual, Revision July—December 2011, contained in the Medical Assistance Provider Fee Manual, dated October 1986. All the provisions of this document, unless specifically excepted, are incorporated by reference] are reimbursed according to COMAR 10.09.23.01-1.
F.—K. (text unchanged)
10.09.23 Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services
Authority: Health-General Article, §§2-104(b), 15-103, and 15-105, Annotated Code of Maryland
.01-1 Incorporation by Reference.
The Early Periodic, Screening, Diagnosis, and Treatment (EPSDT) Provider Manual (Maryland Medical Assistance Program, Effective January 1, 2017) is incorporated by reference.
.07 Payment Procedures.
A.—B. (text unchanged)
C. Rates for services provided by chiropractors, speech therapists, occupational therapists, [professional counselors, psychologists, social workers,] and nutritionists [, and nurse psychotherapists] covered under this chapter are included in the [current Program Physicians’ Provider Fee Manual, which is contained in the Medical Assistance Provider Fee Manual, dated October 1986, all the provisions of which, unless specifically excepted, are incorporated by reference in COMAR 10.09.02.07] Early Periodic, Screening, Diagnosis, and Treatment (EPSDT) Provider Manual.
D.—F. (text unchanged)
10.09.51 Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Audiology Services
Authority: Health-General Article, §§2-104(b), 15-103, and 15-105, Annotated Code of Maryland
.07 Payment Procedures.
A. (text unchanged)
B. [The Audiology Procedure Code and Fee Schedule, Revision 2010 is incorporated by reference and is contained in the Medical Assistance Audiology Provider Manual dated November, 2010.] Audiology services are reimbursed according to COMAR 10.09.23.01-1.
C.—O. (text unchanged)
VAN T. MITCHELL
Secretary of Health and Mental Hygiene
