Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 2 › Subtitle 09 - MEDICAL CARE PROGRAMS › Chapter 10.09.09 - Medical Laboratories › Section 10.09.09.01 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In addition
				  to the definitions contained in §B of this regulation, definitions set
				  forth in COMAR
				  10.09.36.01D are
				  applicable to this chapter.
B.
				  Terms Defined.
(1) "Authorized practitioner"
				  means a physician, osteopath, dentist, podiatrist, nurse midwife, nurse
				  anesthetist, nurse practitioner, or physician assistant employed by a physician
				  or clinic.
(2) Freestanding Clinic.
(a) "Freestanding clinic" means a health care
				  facility that is not licensed as a hospital, part of a hospital, or nursing
				  home and is not administratively part of a physician's, dentist's, or
				  osteopath's office, but which has a separate staff functioning under the
				  direction of a clinic administrator or health officer and is organized and
				  operated to provide ambulatory health services.
(b) "Freestanding clinic" does not include a
				  clinic or clinic site located in a participant's home.
(3) "Hospital" means any institution which
				  falls within the jurisdiction of Health-General Article, Title 19, Subtitle 3,
				  Annotated Code of Maryland, and which is licensed pursuant to COMAR 10.07.01 or
				  other applicable standards established by the state in which the service is
				  provided.
(4) "Medical laboratory"
				  means a licensed or certified facility, place, establishment, or institution,
				  operated for the examination of material derived from the human body, by means
				  of one or more of the scientific disciplines, for the purpose of obtaining
				  scientific data that may be used to determine the presence, source, progress,
				  or identity of disease agents, and to aid in the prevention, diagnosis,
				  treatment, and management of human disease.
(5) "Order" means a request, or a copy of a
				  request, initiated by and traceable to an authorized practitioner, authorizing
				  the performance of specific medical laboratory services, that identifies the
				  participant, the authorized ordering practitioner, the medical laboratory
				  services requested, and the date executed.
(6) "Participant" means an individual who is
				  certified as eligible for, and is receiving, Medical Assistance
				  benefits.
(7) "Preauthorization"
				  means the approval required from the Department or its designee before services
				  can be rendered.
(8) "Reference
				  laboratory" means a medical laboratory, which is enrolled with the Program as
				  either a provider or a renderer, to which a medical laboratory provider refers
				  specimens from Medical Assistance participants for analysis.
(9) "Referring laboratory" means a medical
				  laboratory provider that refers specimens from Medical Assistance participants
				  for analysis.
(10) "Special
				  handling" means a circumstance in which specimen collection and pickup are
				  accomplished as independent procedures to be responsive to the medical needs of
				  the participant or to preserve viability or condition of the
				  specimen.
(11) "Standing order"
				  means a request, or a copy of a request, initiated by and traceable to an
				  authorized practitioner, authorizing the performance of specific medical
				  laboratory services to be supplied over a specific time period, that identifies
				  the participant, the authorized ordering practitioner, the medical laboratory
				  services requested, and the date executed.