Sec. 10.09.59.06. Covered Services

Latest version.

The ASO shall reimburse the following specialty mental health services rendered to participants when authorized by the ASO:

A. Medically necessary specialty mental health services delivered by providers listed in Regulation .04 of this chapter, for which the primary diagnosis is listed in COMAR 10.09.70.02I or J;

B. Telehealth services as defined in COMAR 10.09.49; and

C. Presumptive drug tests and definitive drug tests, when ordered by a specialty mental health provider, with a behavioral health primary diagnosis listed in COMAR 10.09.70.02I or J on the claim.

                    
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