PROPOSAL
Maryland Register
Issue Date: June 23, 2017
Volume 44 • Issue 13 • Page 628
Title 10
DEPARTMENT OF HEALTH AND MENTAL HYGIENE
Subtitle 09 MEDICAL CARE PROGRAMS
10.09.18 Oxygen and Related Respiratory Equipment Services
Authority: Health-General Article, §§2-104(b), 15-103, 15-105, and 15-129, Annotated Code of Maryland
Notice of Proposed Action
[17-164-P]
The Secretary of Health and Mental Hygiene proposes to amend Regulations .04 and .05 under COMAR 10.09.18 Oxygen and Related Respiratory Equipment Services.
Statement of Purpose
The purpose of this action is to clarify the circumstances under which services are covered for individuals younger than 21 years old. An additional purpose of this proposal is to remove a limitation on covered services.
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 dhmh.regs@maryland.gov, or fax to 410-767-6483. Comments will be accepted through July 24, 2017. A public hearing has not been scheduled.
.04 Covered Services.
A. (text unchanged)
B. The items in §A(1), (2), and (3)(a) and (b) of this regulation are covered when:
(1) (text unchanged)
(2) The patient’s saturation level is 88 percent or less on room air or less than 93 percent for patients younger than 21 years old; or
(3) (text unchanged)
C.—F. (text unchanged)
.05 Limitations.
A. (text unchanged)
B. The Program places the following limitations upon covered services:
(1)—(2) (text unchanged)
(3) Reimbursement may not be made for:
(a)—(c) (text unchanged)
[(d) Oxygen prescribed for use less than 15 hours per day or except when indicated for sleep apnea as described in Regulation .04B(2)(a) and (b) of this chapter;]
[(e)] (d)—[(f)] (e) (text unchanged)
(4) (text unchanged)
DENNIS R. SCHRADER
Secretary of Health and Mental Hygiene
