Sec. 10.09.23.08. Recovery and Reimbursement

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A. Regardless of whether the recipient has other third-party insurance coverage, EPSDT screening providers shall bill the Program directly for the following components of an EPSDT screen:

(1) Comprehensive unclothed physical examinations;

(2) Immunizations when the vaccine is not covered by the Vaccines for Children Program;

(3) Vaccine administration; and

(4) Objective screenings for:

(a) Developmental assessment;

(b) Hearing; and

(c) Vision.

B. Upon submission of a claim for a EPSDT screening component, as described in §A of this regulation, the Department shall pursue third-party reimbursement when appropriate.

C. Recovery and reimbursement for all other services in the chapter are set forth in COMAR 10.09.36.07.

                    
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