Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 2 › Subtitle 09 - MEDICAL CARE PROGRAMS › Chapter 10.09.18 - Oxygen and Related Respiratory Equipment Services › Section 10.09.18.01 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. The following
				  terms have the meanings indicated.
B. Terms Defined.
(1) "Concentrator" means a device which
				  removes nitrogen from ambient air, thus increasing the percentage of oxygen,
				  and delivers the resulting oxygen-enhanced air to the patient.
(2) "Current stable arterial blood gas
				  results" means stable arterial blood gas results on room air within 1 month
				  before the requested date of submission of the form designated by the
				  Department.
(3) "Demurrage" means a
				  charge imposed by a provider for the detention of an oxygen cylinder or other
				  equipment.
(4) "Department" means
				  the Department of Health and Mental Hygiene, the single State agency designated
				  to administer the Maryland Medical Assistance Program under Title XIX of the
				  Social Security Act, 42
				  U.S.C. §
												1396 et seq.
(5) "Emergency services" means unscheduled
				  deliveries or maintenance visits to the home or nursing home by the provider
				  because of a threat to the patient's life caused by insufficient supply of
				  oxygen or equipment malfunction.
(6) "Home" means the place of residence
				  occupied by the recipient, other than a hospital or a nursing
				  facility.
(7) "Hospital" means an
				  institution which falls within the jurisdiction of Health-General Article,
				  §19-301 et seq., Annotated Code of Maryland, and is licensed pursuant to
				  COMAR 10.07.01 or other applicable standards established by the State in which
				  the service is provided.
(8)
				  "Intermittent Positive Pressure Breathing (IPPB) Equipment" means an apparatus
				  designed to force a combination of ambient air or medication, or both, into a
				  patient's respiratory system.
(9)
				  "Medical Assistance Program" means a program of comprehensive medical and other
				  health-related care for indigent and medically indigent persons.
(10) "Medicare" means the insurance program
				  administered by the federal government under Title XVIII of the Social Security
				  Act, 42 U.S.C. §
												1395 et seq.
(11) "Nasal continuous positive airway
				  pressure (NCPAP) system" means a noninvasive apparatus designed to maintain air
				  or oxygen, or both, under constant positive pressure through the nose during
				  sleep.
(12) "Nursing facility"
				  means a Comprehensive Care Facility which falls within the jurisdiction of the
				  Health-General Article, §19-301 et seq., Annotated Code of Maryland, or
				  other applicable standards established by the State in which the service is
				  provided.
(13) "Oxygen" means pure
				  liquid or gaseous oxygen, not in combination with other medical gases, packaged
				  in suitable safe containers for administration to patients.
(14) "Prepayment authorization" means the
				  approval required from the Department or its designee before services can be
				  rendered.
(15) "Prescriber" means a
				  physician licensed to prescribe oxygen and related respiratory equipment in the
				  state in which the service is provided.
(16) "Program" means the Maryland Medical
				  Assistance Program.
(17) "Provider"
				  means an individual, association, partnership, or incorporated or
				  unincorporated group of individuals who, through an appropriate agreement with
				  the Department, has been identified as a Program supplier of oxygen and related
				  respiratory equipment by the issuance of an individual account
				  number.
(18) "Recipient" means a
				  person who is certified as eligible for, and is receiving, Medical Assistance
				  benefits.
(19) "Related respiratory
				  equipment" means accessories used to move, direct, measure, or control the flow
				  of oxygen from its container, or from a concentrator, to the patient.