Issue Date: June 23, 2017
Volume 44 • Issue 13 • Pages 628—629
DEPARTMENT OF HEALTH AND MENTAL HYGIENE
Subtitle 09 MEDICAL CARE PROGRAMS
10.09.70 Maryland Medicaid Managed Care Program: Non-Capitated Covered 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 Regulation .03 under COMAR 10.09.70 Maryland Medicaid Managed Care Program: Non-Capitated Covered Services.
Statement of Purpose
The purpose of this action is to clarify that applied behavioral analysis (ABA) Services are carved out of the MCO benefit package.
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 firstname.lastname@example.org, or fax to 410-767-6483. Comments will be accepted through July 24, 2017. A public hearing has not been scheduled.
.03 Non Behavioral Health Fee-For-Service Benefits.
An MCO may not be required to provide any of the following benefits or services that are reimbursed directly by the Department:
A.—M. (text unchanged)
N. Transportation services provided through grants to local governments pursuant to COMAR 10.09.19; [and]
O. Services provided to members participating in the State’s Health Home Program as described in COMAR 10.09.33; and
P. Applied behavioral analysis (ABA) services as described in COMAR 10.09.28.
DENNIS R. SCHRADER
Secretary of Health and Mental Hygiene