Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 2 › Subtitle 09 - MEDICAL CARE PROGRAMS › Chapter 10.09.96 - Remote Patient Monitoring › Section 10.09.96.02 - 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) "Certified nurse midwife" means an
				  individual who meets the licensure and conditions of participation for
				  certified nurse midwives set forth in COMAR 10.09.01.
(2) "Certified nurse practitioner" means an individual
				  who meets the licensure and conditions of participation for certified nurse
				  practitioners set forth in COMAR 10.09.01.
(3) "Department" means the Maryland
				  Department of Health, which is the single State agency designated to administer
				  the remote patient monitoring program.
(4) "Episode" means the span of treatment
				  during which remote patient monitoring services are rendered to eligible
				  participants.
(5) "Home" means the
				  place of residence occupied by the participant, other than a hospital, nursing
				  facility, or other medical or psychiatric institution.
(6) "Home health agency" means a public or
				  private agency or organization that meets the licensure requirements and
				  conditions of participation of COMAR 10.09.04.
(7) "Maryland Medical Assistance Program"
				  means the program of comprehensive medical, behavioral, and other
				  health-related care for indigent and medically indigent individuals, jointly
				  financed by the federal and state governments and administered by states under
				  Title XTK of the Social Security Act,
				  42 U.S.C §
												1396 et seq., as amended.
(8) "Medically necessary" means that the
				  service or benefit is:
(a) Directly related
				  to diagnostic, preventive, curative, palliative, rehabilitative, or
				  ameliorative treatment of an illness, injury, disability, or health
				  condition;
(b) Consistent with
				  currently accepted standards of good medical practice;
(c) The most cost-efficient service that can
				  be provided without sacrificing effectiveness or access to care; and
(d) Not primarily for the convenience of the
				  consumer, family, or provider.
(9) "Participant" means an individual who is
				  certified as eligible for, and is receiving, Medical Assistance
				  benefits.
(10) "Physician " means
				  an individual who meets the licensure requirements and conditions of
				  participation of COMAR 10.09.02.
(11) "Physician assistant" means an
				  individual who meets the licensure requirements and conditions of participation
				  set forth in COMAR 10.09.55.
(12)
				  "Program" means the Maryland Medical Assistance Program.
(13) "Provider" means an individual or an
				  organization who:
(a) Meets the requirements
				  of Regulations . 03 and. 04 of this chapter; and
(b) Through an appropriate agreement with the
				  Department, has been identified as a Program provider by the issuance of a
				  unique provider number.
(14) "Remote patient monitoring" means the
				  use of synchronous or asynchronous digital technologies that collect or monitor
				  medical, patient-reported, and other forms of health care data for Program
				  participants at an originating site and electronically transmit that data to a
				  distant site provider to enable the distant site provider to assess, diagnose,
				  consult, treat, educate, provide care management, suggest self-management, or
				  make recommendations regarding the Program participant's health
				  care.