Section 15-849 – Coverage for Abuse-Deterrent Opioid Analgesic Drug Products
(a) (1) In this section the following words have the meanings indicated. (2) “Abuse–deterrent opioid analgesic drug product” means a brand name or generic opioid analgesic drug product approved by the U.S. Food and Drug Administration with abuse–deterrent labeling that indicates the drug product is expected to result in a meaningful reduction in abuse. (3) “Opioid analgesic drug product” […]
Section 15-835 – Required Coverage for Habilitative Services
(a) (1) In this section the following words have the meanings indicated. (2) “Habilitative services” means services and devices, including occupational therapy, physical therapy, and speech therapy, that help a child keep, learn, or improve skills and functioning for daily living. (3) “Managed care system” means a method that an insurer, a nonprofit health service plan, or a health […]
Section 15-836 – Hair Prosthesis
(a) This section applies to: (1) insurers and nonprofit health service plans that provide inpatient hospital, medical, or surgical benefits to individuals or groups on an expense-incurred basis under health insurance policies or contracts that are issued or delivered in the State; and (2) health maintenance organizations that provide inpatient hospital, medical, or surgical benefits to individuals or […]
Section 15-837 – Colorectal Cancer Screening Coverage
(a) This section applies to: (1) insurers and nonprofit health service plans that provide hospital, medical, or surgical benefits to individuals or groups on an expense-incurred basis under health insurance policies or contracts that are issued or delivered in the State; and (2) health maintenance organizations that provide hospital, medical, or surgical benefits to individuals or groups under […]
Section 15-838 – Hearing Aid Coverage for a Minor Child
(a) This section applies to: (1) insurers and nonprofit health service plans that provide hospital, medical, or surgical benefits to individuals or groups on an expense–incurred basis under health insurance policies or contracts that are issued or delivered in the State; and (2) health maintenance organizations that provide hospital, medical, or surgical benefits to individuals or groups under […]
Section 15-839 – Coverage for Treatment of Morbid Obesity
(a) (1) In this section the following words have the meanings indicated. (2) “Body mass index” means a practical marker that is used to assess the degree of obesity and is calculated by dividing the weight in kilograms by the height in meters squared. (3) “Morbid obesity” means a body mass index that is: (i) greater than 40 kilograms per […]
Section 15-840 – Coverage for Medically Necessary Residential Crisis Services
(a) In this section, “residential crisis services” means intensive mental health and support services that are: (1) provided to a child or an adult with a mental illness who is experiencing or is at risk of a psychiatric crisis that would impair the individual’s ability to function in the community; (2) designed to prevent a psychiatric inpatient admission, […]
Section 15-841 – Coverage for Smoking Cessation Treatment
(a) (1) In this section the following words have the meanings indicated. (2) “Authorized prescriber” has the meaning stated in § 12-101 of the Health Occupations Article. (3) (i) “Nicotine replacement therapy” means a product that: 1. is used to deliver nicotine to an individual attempting to cease the use of tobacco products; and 2. is obtained under a prescription written by […]
Section 15-842 – Copayment or Coinsurance for Prescription Drugs and Devices Limited
(a) (1) This section applies to: (i) insurers and nonprofit health service plans that provide coverage for prescription drugs and devices under health insurance policies or contracts that are issued or delivered in the State; and (ii) health maintenance organizations that provide coverage for prescription drugs and devices under contracts that are issued or delivered in the State. (2) An […]
Section 15-828 – Coverage for Charges Related to Dental Care
(a) This section applies to: (1) insurers and nonprofit health service plans that provide hospital, medical, or surgical benefits to individuals or groups on an expense-incurred basis under health insurance policies that are issued or delivered in the State; and (2) health maintenance organizations that provide hospital, medical, or surgical benefits to individuals or groups under contracts that […]