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REGS : 10.09.02 Physicians’ Services (MEDICAL CARE PROGRAMS)

 

 Content Editor

 
PROPOSAL
Maryland Register
Issue Date:  March 21, 2014
Volume 41 • Issue 6 • Pages 382—383
 
Title 10
DEPARTMENT OF HEALTH AND MENTAL HYGIENE
Subtitle 09 MEDICAL CARE PROGRAMS
10.09.02 Physicians’ Services
 
Authority: Health-General Article, §§2-104(b), 15-103, and 15-105, Annotated Code of Maryland
 
Notice of Proposed Action
[14-076-P]
 
The Secretary of Health and Mental Hygiene proposes to amend Regulation .05 under COMAR 10.09.02 Physicians’ Services.
 
Statement of Purpose
The purpose of this action is to bring the regulation into line with current Federal policy by removing the limitation on coverage of audiometric tests solely for prescribing hearing aids.
 
Comparison to Federal Standards
There is a corresponding federal standard to this proposed action, but the proposed action is not more restrictive or stringent.
 
Estimate of Economic Impact
I. Summary of Economic Impact. Federal policy requires the Department to pay physicians for audiometric tests even when they are for the sole purpose of prescribing hearing aids. This amendment to include these tests as a covered service will increase expenditures for the Department; however that amount is indeterminable.
 
 
Revenue (R+/R-)
 
II. Types of Economic Impact.
Expenditure (E+/E-)
Magnitude
 

 
 
 
 
 
A. On issuing agency:
(E+)
Indeterminable
B. On other State agencies:
NONE
 
C. On local governments:
NONE
 
 
 
Benefit (+)
Cost (-)
Magnitude
 

 
 
 
 
 
D. On regulated industries or trade groups:
(+)
Indeterminable
E. On other industries or trade groups:
NONE
 
F. Direct and indirect effects on public:
NONE
 
III. Assumptions. (Identified by Impact Letter and Number from Section II.)
A. and D. This amendment will increase the Department’s expenditures; however, at this time, the economic impact is indeterminable, as the Department does not have data regarding the demand and volume for such services.
 
Economic Impact on Small Businesses
The proposed action has minimal or no economic impact on small businesses.
 
Impact on Individuals with Disabilities
The proposed action has no impact on individuals with disabilities.
 
Opportunity for Public Comment
Comments may be sent to Michele A. Phinney, Director, Office of Regulation and Policy Coordination, Department of Health and Mental Hygiene, 201 W. Preston Street, Room 512, Baltimore, MD 21201, or call 410-767-6499 (TTY 800-735-2258), or email to dhmh.regs@maryland.gov, or fax to 410-767-6483. Comments will be accepted through April 21, 2014. A public hearing has not been scheduled.
 
.05 Limitations.
A. Services which are not covered are:
(1)—(8) (text unchanged)
[(9) Audiometric tests for the sole purpose of prescribing hearing aids;]
[(10)] (9)[(23)] (22) (text unchanged)
B.—H. (text unchanged)
 
JOSHUA M. SHARFSTEIN, M.D.
Secretary of Health and Mental Hygiene