704

LAWS OF MARYLAND

Ch. 21

REVISOR'S NOTE: This section is new language derived
without substantive change from former Article
43, § 787 and the second sentence of § 785(b).

This section is revised to clarify that an
individual is accepted for treatment and, then,
certified for State payments. See revisor's note
to § 13-307 of this subtitle.

Defined terms: "Commission" § 13-301
"Department" § 1-101

13-311. PAYMENTS BY STATE.

(A)  IN GENERAL.

THIS STATE MAY PAY THE INCURRED COST OF ALL TREATMENT
THAT A CERTIFIED PATIENT IS GIVEN, FOR ANY CAUSE, ON OR
AFTER THE DATE OF CERTIFICATION OF THAT PATIENT, IF THE
TREATMENT IS GIVEN IN:

(1)  A CERTIFIED DIALYSIS OR TRANSPLANT CENTER
THAT IS IN THIS STATE;

(2)  A DIALYSIS OR TRANSPLANT CENTER THAT IS IN A
CONTIGUOUS STATE AND IS APPROVED BY THAT CONTIGUOUS STATE
AND THE COMMISSION; OR

(3)  A HOME DIALYSIS PROGRAM THAT IS APPROVED BY
THE COMMISSION.

(B)  PROHIBITED PAYMENTS.

THE SECRETARY MAY NOT PAY FOR ANY TREATMENT THAT AN
INDIVIDUAL RECEIVES AT A FACILITY OR PROGRAM THAT IS NOT
CERTIFIED OR OTHERWISE APPROVED.

(C)  INVOICES.

(1)  EXCEPT FOR AN INVOICE SUBMITTED TO A
MEDICARE INTERMEDIARY OR ANY OTHER INSURANCE PROVIDER, THE
SECRETARY MAY NOT MAKE ANY PAYMENT FOR AN INVOICE THAT THE
SECRETARY RECEIVES MORE THAN 12 MONTHS AFTER THE DATES OF
THE SERVICES GIVEN.

(2)  AN INVOICE SHALL BE SUBMITTED TO THE
SECRETARY WITHIN 6 MONTHS AFTER PAYMENT OR REJECTION BY THE
MEDICARE INTERMEDIARY OR OTHER INSURANCE PROVIDERS.

(3)  A PROVIDER WHO FAILS TO SUBMIT AN INVOICE
WITHIN THE REQUIRED TIME MAY NOT RECOVER THE AMOUNT LATER
FROM EITHER THE PATIENT OR THE SECRETARY.

REVISOR'S NOTE: This section is new language derived