Sec. 10.09.76.04. Covered Services  


Latest version.
  • An SBHC, designated by the Department as meeting the criteria specified in Regulation .03 of this chapter, is eligible for reimbursement by the Program for the following services:

    A. Comprehensive well-child care, including the administration of vaccines in accordance with the Maryland Healthy Kids Preventive Health Schedule, when:

    (1) Performed by EPSDT certified providers; and

    (2) Rendered according to EPSDT standards set forth in COMAR 10.09.23.03;

    B. Follow-up of positive or abnormal EPSDT screening components without approval of the PCP, except when referral for specialty care is indicated;

    C. Comprehensive preventive and primary health services;

    D. Family planning services as described in COMAR 10.09.58.05;

    E. Covered dental services in accordance with COMAR 10.09.05; and

    F. Specialty behavioral health services in accordance with COMAR 10.09.59 and 10.09.80.