Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 2 › Subtitle 09 - MEDICAL CARE PROGRAMS › Chapter 10.09.58 - Family Planning Program › Section 10.09.58.02 - 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)
"Advanced
					 practice nurse" means an individual who meets the requirements in COMAR
					 10.09.01.
(2) "Department"
				  means the Department of Health and Mental Hygiene as defined in COMAR
				  10.09.36.01B.
(3) "Early and Periodic Screening,
				  Diagnostic and Treatment (EPSDT)" means the provision to individuals younger
				  than 21 years old, of preventative health care under
				  42CFR §
												441.50 et seq. as amended, and other health
				  care services, diagnostic services, and treatment services that are necessary
				  to correct or ameliorate defects and physical and mental illnesses and
				  conditions discovered by EPSDT screening services.
(4) "Family planning" means providing
				  individuals with the information and means to prevent unwanted pregnancy and
				  maintain reproductive health.
(5)
				  "Free-standing 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.
(6) "Hospital" means an
				  institution that is licensed pursuant to COMAR 10.07.01, or other applicable
				  standards established by the state in which the service is provided.
(7) "Local health department (LHD)" means the
				  Baltimore City Health Department and its subgrantees, or a county health
				  department and its subgrantees.
(8)
				  "Medical Assistance Program" has the meaning stated in COMAR
				  10.09.36.01B.
(9) "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.
(10)
				  "Medically necessary" has the meaning stated in COMAR
				  10.09.36.01B.
(11) "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.
(12) "Participant" means an individual who is
				  certified as eligible for the Family Planning Program as described in COMAR
				  10.09.37.
(13) "Physician" means an
				  individual licensed to practice medicine in the state in which the physician's
				  practice is located.
(14) "Physician
				  assistant" means an individual who meets the requirements in COMAR
				  10.09.55.
(15) "Physician office
				  and other point-of-care laboratory" means a medical laboratory at a site or
				  facility operated as a part of, or in association with, the medical practice of
				  licensed medical practitioners permitted to perform clinical laboratory
				  procedures, community health center, emergency treatment center, health
				  maintenance organization, or county or local health department, where clinical
				  laboratory procedures are performed for patients seen by the practitioner or a
				  practitioner employed or otherwise engaged by one of these entities.
(16) "Program" means the Maryland Medical
				  Assistance, Family Planning Program.
(17) "Provider" means a health care provider
				  who:
(a) Meets the licensure requirements set
				  forth in Regulation .03 of this chapter;
(b) Meets the conditions for participation
				  set forth in Regulation .04 of this chapter; and
(c) Provides the services described in
				  Regulation .05 of this chapter.