Md. Code Regs. 10.09.05.03 – Provider Qualifications and Conditions for Participation.

A. General requirements for participation in the Program are that a provider shall:
1. (1) Comply with requirements set forth in COMAR 10.09.36; and
2. (2) If delivering services via telehealth, comply with COMAR 10.09.49 and any subregulatory guidance issued by the Department.
B. To participate in the Program as a dental provider, a provider shall meet the licensure requirements established in Regulation .02 of this chapter.
C. To participate in the Program as an EPSDT certified provider of fluoride varnish services, the provider shall:
1. (1) Have MDH Certification for the Application of Fluoride Varnish; and
2. (2) Meet the following requirements:
  1. (a) Be board-certified in one of the following:
    1. (i) Pediatrics;
    2. (ii) Family practice; or
    3. (iii) Internal medicine;
  2. (b) Be a licensed physician, physician assistant, or licensed and certified nurse practitioner, delivering primary health care to children and adolescents; or
  3. (c) Be a local health department or a federally qualified health center.
D. The provider shall:
1. (1) Complete the Dental Provider Application; and
2. (2) Submit verification of the National Provider Identifier (NPI) Number.
E. Mobile Dental Unit and Mobile Dental Practice.
1. (1) The mobile dental unit shall provide or arrange for comprehensive dental services with a participating Maryland Healthy Smiles Dental Program provider.
2. (2) The mobile dental unit and mobile dental practice shall be linked through either ownership or a legally binding contract to a brick and mortar dental office that has a permanent and fixed location.
3. (3) The brick and mortar dental office shall participate in the Maryland Healthy Smiles Dental Program.
4. (4) The mobile dental unit and mobile dental practice shall have and utilize the electronic technology that enables the same day exchange of patient records with:
  1. (a) The brick and mortar dental office; and
  2. (b) If requested, the dental office of the parent or legal guardian's choice.
5. (5) The mobile dental unit and mobile dental practice service area shall be limited to 30 miles in a rural setting and 10 miles in an urban setting from the brick and mortar dental office that the mobile dental unit and mobile dental practice is either owned by or with which the dental office holds a legally binding contract.
6. (6) A mobile dental unit and mobile dental practice shall:
  1. (a) Maintain dental records for the patient;
  2. (b) Observe all patient rights;
  3. (c) Obtain written, informed consent from a parent or legal guardian, which shall:
    1. (i) Be renewed each school year before treating a minor; and
    2. (ii) Allow the parent or legal guardian to request that the dental records be sent to a provider of their choice;
  4. (d) Comply with all applicable federal, State, and local laws, regulations, and ordinances regulating:
    1. (i) Equipment;
    2. (ii) Flammability;
    3. (iii) Construction;
    4. (iv) Infection control;
    5. (v) Sanitation procedures; and
    6. (vi) Zoning;
  5. (e) Comply with the statutes and regulations of the Maryland Department of the Environment for all dental radiographic and imaging equipment;
  6. (f) Obtain, keep current, and make readily available all applicable county and city licenses or permits necessary to operate the mobile dental unit or mobile dental practice which would include the active dentist, hygienist and dental assistant licenses and the dental radiographic and imaging equipment permits;
  7. (g) Provide an update to the Department regarding any mobile dental unit or mobile dental practice provider changes within 72 hours;
  8. (h) Provide access to a ramp or a lift if services are provided to disabled individuals;
  9. (i) Have ready access to a properly functioning sterilization system;
  10. (j) Have ready access to an adequate supply of potable water, including hot water;
  11. (k) Have immediate access to toilet facilities;
  12. (l) Have an appropriately covered noncorrosive metal container for refuse and waste materials;
  13. (m) Have carbon monoxide and smoke detection devices or systems installed and in proper working condition;
  14. (n) Have a chair designed and purposed exclusively for the provision of dental services;
  15. (o) Have a dental treatment light;
  16. (p) Have a radiograph unit with appropriate processing equipment;
  17. (q) Have an evacuation unit suitable for dental surgical use;
  18. (r) Have written procedures for medical emergencies;
  19. (s) Have appropriate equipment to treat medical emergencies;
  20. (t) Have appropriate and sufficient dental instruments and infection control supplies; and
  21. (u) Have any other equipment or system that is necessary to provide the services being rendered by the mobile dental unit or mobile dental practice.
7. (7) Dental hygienists or dental assistants may not solely operate a mobile dental unit or mobile dental practice.
8. (8) The owner or owners of a mobile dental unit or mobile dental practice shall submit a business plan to the dental administrative service organization for the mobile unit or mobile dental practice that includes:
  1. (a) The mission of the mobile dental unit and mobile dental practice;
  2. (b) Verification of ownership of the mobile dental unit and mobile dental practice;
  3. (c) A list of the clinical practitioners that will render services in the mobile dental unit or mobile dental practice; and
  4. (d) The targeted population.

Authority: Health-General Article, §§2-104(b), 15-103, and 15-105, Annotated Code of Maryland

Effective date: January 1, 1976 (2:29 Md. R. 1740)

Regulations .01—.10 amended effective October 13, 1976 (3:21 Md. R. 1206)

Regulations .01I, .04A, .05, and .06B amended as an emergency provision effective February 1, 1982 (9:2 Md. R. 110); emergency status extended at 9:11 Md. R. 1122 and 9:17 Md. R. 1697 (Emergency provisions are temporary and are not printed in COMAR)

Regulation .06C adopted effective April 4, 1980 (7:7 Md. R. 708)

Regulation .07D amended as an emergency provision effective July 1, 1982 (9:13 Md. R. 1347); adopted permanently effective November 1, 1982 (9:21 Md. R. 2106)

Regulation .07F amended as an emergency provision effective February 1, 1979 (6:2 Md. R. 71); emergency status extended to June 1, 1979 (6:12 Md. R. 1045); adopted permanently effective June 1, 1979 (6:11 Md. R. 979)

Regulation .07L amended as an emergency provision effective July 1, 1978 (5:14 Md. R. 1131); adopted permanently effective November 3, 1978 (5:22 Md. R. 1673)

Regulation .11 adopted effective October 25, 1982 (9:21 Md. R. 2106)

Chapter revised effective January 1, 1983 (9:25 Md. R. 2480)

Regulations .01, .04, and .05 amended as an emergency provision effective December 2, 1992 (19:26 Md. R. 2282); amended permanently effective June 1, 1993 (20:10 Md. R. 851)

Regulation .01B amended effective October 1, 1985 (12:19 Md. R. 1848); August 27, 2007 (34:17 Md. R. 1507); May 19, 2008 (35:10 Md. R. 972)

Regulation .01B amended as an emergency provision effective July 16, 2009 (36:17 Md. R. 1310); amended permanently effective November 30, 2009 (36:24 Md. R. 1858)

Regulation .01B amended effective December 27, 2010 (37:26 Md. R. 1787); March 30, 2015 (42:6 Md. R. 511); March 14, 2016 (43:5 Md. R. 385); August 14, 2017 (44:16 Md. R. 808); May 20, 2019 (46:10 Md. R. 485); November 15, 2021 (48:23 Md. R. 979); July 10, 2023 (50:13 Md. R. 512); October 13, 2025 (52:20 Md. R. 1001)

Regulation .02 amended as an emergency provision effective September 16, 1992 (19:20 Md. R. 1812); amended permanently effective January 1, 1993 (19:25 Md. R. 2205)

Regulation .02 amended as an emergency provision effective July 16, 2009 (36:17 Md. R. 1310); amended permanently effective November 30, 2009 (36:24 Md. R. 1858)

Regulation .02 amended effective December 27, 2010 (37:26 Md. R. 1787)

Regulation .02C amended effective October 13, 2025 (52:20 Md. R. 1001)

Regulation .02D amended effective May 19, 2008 (35:10 Md. R. 972)

Regulation .02E amended effective May 20, 2019 (46:10 Md. R. 485)

Regulation .02F amended effective August 14, 2017 (44:16 Md. R. 808)

Regulation .03 amended as an emergency provision effective September 16, 1992 (19:20 Md. R. 1812); amended permanently effective January 1, 1993 (19:25 Md. R. 2205)

Regulation .03 amended as an emergency provision effective July 16, 2009 (36:17 Md. R. 1310); amended permanently effective November 30, 2009 (36:24 Md. R. 1858)

Regulation .03 amended effective May 20, 2019 (46:10 Md. R. 485); July 10, 2023 (50:13 Md. R. 512)

Regulation .03B amended effective May 19, 2008 (35:10 Md. R. 972)

Regulation .03E amended effective November 15, 2021 (48:23 Md. R. 979); October 13, 2025 (52:20 Md. R. 1001)

Regulation .03F adopted effective December 27, 2010 (37:26 Md. R. 1787)

Regulation .03F amended effective March 14, 2016 (43:5 Md. R. 385); August 14, 2017 (44:16 Md. R. 808)

Regulation .03K adopted effective January 30, 1984 (11:2 Md. R. 113)

Regulation .04 amended effective May 19, 2008 (35:10 Md. R. 972)

Regulation .04 amended as an emergency provision effective July 16, 2009 (36:17 Md. R. 1310); amended permanently effective November 30, 2009 (36:24 Md. R. 1858)

Regulation .04 amended effective August 14, 2017 (44:16 Md. R. 808); May 20, 2019 (46:10 Md. R. 485); November 15, 2021 (48:23 Md. R. 979); July 10, 2023 (50:13 Md. R. 512)

Regulations .04A, .05A, and .07E amended, and .07N adopted as an emergency provision effective February 1, 1989 (16:3 Md. R. 336); adopted permanently effective June 1, 1989 (16:10 Md. R. 1108)

Regulation .04B amended effective October 13, 2025 (52:20 Md. R. 1001)

Regulation .04C amended effective December 27, 2010 (37:26 Md. R. 1787); March 30, 2015 (42:6 Md. R. 511)

Regulation .05 amended effective October 1, 1985(12:19 Md. R. 1848); May 19, 2008 (35:10 Md. R. 972)

Regulation .05 amended as an emergency provision effective July 16, 2009 (36:17 Md. R. 1310); amended permanently effective November 30, 2009 (36:24 Md. R. 1858)

Regulation .05 amended effective May 20, 2019 (46:10 Md. R. 485); October 13, 2025 (52:20 Md. R. 1001)

Regulation .05A amended effective August 14, 2017 (44:16 Md. R. 808)

Regulation .05B amended effective November 15, 2021 (48:23 Md. R. 979)

Regulation .05C repealed effective July 10, 2023 (50:13 Md. R. 512)

Regulation .06 amended effective May 19, 2008 (35:10 Md. R. 972)

Regulation .06 amended as an emergency provision effective July 16, 2009 (36:17 Md. R. 1310); amended permanently effective November 30, 2009 (36:24 Md. R. 1858)

Regulation .06 amended effective November 15, 2021 (48:23 Md. R. 979)

Regulation .06A amended effective August 27, 2007 (34:17 Md. R. 1507)

Regulation .06B amended effective October 1, 1985 (12:19 Md. R. 1848); December 24, 1990 (17:25 Md. R. 2907); July 10, 2023 (50:13 Md. R. 512)

Regulation .06D amended effective August 14, 2017 (44:16 Md. R. 808)

Regulation .06F amended effective December 27, 2010 (37:26 Md. R. 1787); March 14, 2016 (43:5 Md. R. 385)

Regulation .07 amended effective October 1, 1985 (12:19 Md. R. 1848)

Regulation .07 amended as an emergency provision effective April 9, 1991 (18:9 Md. R. 1005); amended permanently effective October 7, 1991 (18:18 Md. R. 2004)

Regulation .07 amended as an emergency provision effective July 1, 1992 (19:15 Md. R. 1381); amended permanently effective November 1, 1992 (19:21 Md. R. 1890)

Regulation .07 amended effective May 19, 2008 (35:10 Md. R. 972)

Regulation .07 amended as an emergency provision effective July 16, 2009 (36:17 Md. R. 1310); amended permanently effective November 30, 2009 (36:24 Md. R. 1858)

Regulation .07 amended effective December 27, 2010 (37:26 Md. R. 1787); May 20, 2019 (46:10 Md. R. 485); July 10, 2023 (50:13 Md. R. 512)

Regulation .07D, F, G amended effective July 4, 2016 (43:13 Md. R. 712)

Regulation .07E amended as an emergency provision effective July 1, 1984 (11:13 Md. R. 1170); adopted permanently effective October 29, 1984 (11:21 Md. R. 1811)

Regulation .07E amended as an emergency provision effective October 1, 1986 (13:22 Md. R. 2393); adopted permanently effective February 9, 1987 (14:2 Md. R. 129)

Regulation .07E amended effective April 20, 1998 (25:8 Md. R. 596)

Regulation .07E amended as an emergency provision effective July 1, 2000 (27:15 Md. R. 1396); amended permanently effective October 30, 2000 (27:21 Md. R. 1976)

Regulation .07E amended as an emergency provision effective October 1, 2001 (28:23 Md. R. 2052); adopted permanently effective January 21, 2002 (29:1 Md. R. 23)

Regulation .07E amended as an emergency provision effective March 25, 2004 (31:8 Md. R. 643); amended permanently effective June 21, 2004 (31:12 Md. R. 911)

Regulation .07E amended effective August 15, 2005 (32:16 Md. R. 1392); August 27, 2007 (34:17 Md. R. 1508); March 30, 2015 (42:6 Md. R. 511); October 13, 2025 (52:20 Md. R. 1001)

Regulation .07E, G amended effective August 27, 2018 (45:17 Md. R. 803)

Regulation .07E, I amended effective November 15, 2021 (48:23 Md. R. 979)

Regulation .07E, I, K amended effective August 14, 2017 (44:16 Md. R. 808)

Regulation .07L amended effective January 30, 1984 (11:2 Md. R. 113); September 10, 1984 (11:18 Md. R. 1584)

Regulation .07L amended as an emergency provision effective January 28, 1991 (18:3 Md. R. 301); emergency status expired April 8, 1991 (18:9 Md. R. 1004)

Regulation .08 amended as an emergency provision effective April 9, 1991 (18:9 Md. R. 1005); amended permanently effective October 7, 1991 (18:18 Md. R. 2004)

Regulation .08 amended as an emergency provision effective July 1, 1992 (19:15 Md. R. 1381); amended permanently effective November 1, 1992 (19:21 Md. R. 1890)

Regulation .08A amended effective May 12, 1986 (13:9 Md. R. 1029); August 14, 2017 (44:16 Md. R. 808)

Regulation .09 amended as an emergency provision effective July 16, 2009 (36:17 Md. R. 1310); amended permanently effective November 30, 2009 (36:24 Md. R. 1858)

Regulation .09D amended effective August 14, 2017 (44:16 Md. R. 808)

Regulation .10 amended effective June 6, 1983 (10:11 Md. R. 974)

Regulation .10 amended as an emergency provision effective July 16, 2009 (36:17 Md. R. 1310); amended permanently effective November 30, 2009 (36:24 Md. R. 1858)

Regulation .10 amended effective October 13, 2025 (52:20 Md. R. 1001)

Regulation .11 amended effective August 14, 2017 (44:16 Md. R. 808)