1. A. A provider shall meet all conditions for participation as set forth in COMAR 10.09.36.03.

2. B. To participate in the Program as a chronic hospital services provider, the provider shall:

   1. (1) Meet the requirements of Title XIX of the Social Security Act for participation as a hospital, as issued by the U.S. Department of Health and Human Services;

   2. (2) 24 hours per day, 7 days per week, meet the following staffing requirements:

      1. (a) On-call or on-site physician services;
      2. (b) On-site registered nurses;
      3. (c) On-site respiratory therapist services; and
      4. (d) On-site advanced cardiac life support services;
   3. (3) Directly provide or make available through contractual arrangements or transfer agreements, medically necessary covered services;
   4. (4) Accept payment by the Program as payment in full for the covered service;
   5. (5) Make available to the Department or its designee the participant’s medical record for review and certification of medical necessity for admission and continuation of stay; and

   6. (6) Maintain documentation of each contact with the participant as part of the complete medical record, which, at a minimum, includes:

      1. (a) Date of service;
      2. (b) The participant’s chief medical complaint or reason for admission;

      3. (c) A description of the services provided, including:

         1. (i) Progress notes;
         2. (ii) Imaging studies;
         3. (iii) Laboratory results;
         4. (iv) Medication administration records; and
         5. (v) Discharge summary; and
      4. (d) A signature, electronic or handwritten, along with the printed or typed name of the individual providing care, with the appropriate title.

Authority: Health-General Article, §§2-104(b), 15-102.8, 15-103, and 15-105, Annotated Code of Maryland

Effective date: April 10, 2017 (44:7 Md. R. 354)

Regulation .01B amended effective May 20, 2019 (46:10 Md. R. 487)

Regulation .05A amended effective May 20, 2019 (46:10 Md. R. 487)

Regulation .07A amended effective May 20, 2019 (46:10 Md. R. 487)

Regulation .08A, B amended effective May 20, 2019 (46:10 Md. R. 487)