Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 2 › Subtitle 09 - MEDICAL CARE PROGRAMS › Chapter 10.09.49 - Telehealth Services › Section 10.09.49.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this
				  chapter, the following terms have the meanings indicated.
B. Terms Defined.
(1) "Administrative services organization
				  (ASO)" means an entity that manages the Public Behavioral Health System on
				  behalf of the Department
(2)
				  "Department" means the Maryland Department of Health, which is the single State
				  agency designated to administer the Medical Assistance Program under Title XIX
				  of the Social Security Act, 42 U.S.C. §
												1396 et
				  seq.
(3) "Distant site" means a
				  site at which the licensed, certified, or otherwise authorized distant site
				  provider is located at the time the service is provided via technology-assisted
				  communication.
(4) "Distant site
				  provider" means the licensed, certified, or otherwise authorized provider at
				  the distant site who provides medically necessary services via telehealth to
				  the patient.
(5) "GT modifier"
				  means the Healthcare Common Procedure Coding System (HCPCS) service code
				  modifier indicating that the provider rendered a healthcare service via an
				  interactive audio and video telecommunications system.
(6) "Medically necessary" has the meaning stated in
				  COMAR 10.09.36.01.
(7)
				  "Originating site" means the location of an eligible Medicaid participant at
				  the time the service being furnished via technology-assisted communication
				  occurs.
(8) "Participant" means an
				  individual who is certified as eligible for, and is receiving, Medical
				  Assistance benefits.
(9)
				  "Provider" means:
(a) An individual,
				  association, partnership, corporation, unincorporated group, or any other
				  person authorized, licensed, or certified to provide services for Medical
				  Assistance participants and who, through appropriate agreement with the
				  Department, has been identified as a Maryland Medical Assistance Provider by
				  the issuance of an individual account number;
(b) An agent, employee, or related party of a
				  person identified in §B(12)(a) of this regulation;
(c) An individual or any other person with an
				  ownership interest in a person identified in §B(12)(a) of this
				  regulation.
(10) Store
				  and Forward Technology.
(a) "Store and
				  forward technology" means the transmission of medical images or other media
				  captured by the originating site provider and sent electronically to a distant
				  site provider, who does not physically interact with the patient located at the
				  originating site.
(b) "Store and
				  forward technology" does not mean dermatology, ophthalmology, or radiology
				  services according to COMAR 10.09.02.07.
(11) "Technology-assisted communication"
				  means multimedia communication equipment permitting two-way real-time
				  interactive communication between a patient at an originating site and a
				  distant site provider at a distant site.
(12) "Telehealth" means the synchronous delivery of
				  medically necessary services to a patient at an originating site by distant
				  site provider, through the use of technology-assisted communication.
(13) "Telehealth Program" means the program
				  by which medically necessary services are authorized to be delivered via
				  technology-assisted communication between originating and distant site
				  providers.