Sec. 10.09.06.05. Participant Eligibility and Referral

Latest version.

A participant is eligible for substance use disorder services under this chapter if the participant:

A. Is enrolled in the Program and is not enrolled in Medicare on the day a service is rendered;

B. Meets the Departments medical necessity criteria based on the ASAM placement criteria for each level of care; and

C. Is 18 years old or older and is not receiving care from a provider under COMAR 10.09.23.04.

                    
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