<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.09.03.03" title_num="10" subtitle_num="09" chapter_num="03" heading="Conditions for Participation.">
  <text>To participate in the Program, the provider shall:</text>
  <paragraph num="A.">
    <text>Meet the licensure requirements in Regulation .02 of this chapter;</text>
  </paragraph>
  <paragraph num="B.">
    <text>Apply for participation in the Program using the application form designated by the Department;</text>
  </paragraph>
  <paragraph num="C.">
    <text>Be approved for participation by the Department;</text>
  </paragraph>
  <paragraph num="D.">
    <text>Accept, as payment in full, the amounts paid by the Program plus any copayment required by Regulation .05C(5) of this chapter;</text>
  </paragraph>
  <paragraph num="E.">
    <text>Maintain adequate records and prescriptions for a minimum of 6 years, and make them available for inspection, upon request, to the Department or its designee;</text>
  </paragraph>
  <paragraph num="F.">
    <text>Ensure that all prescriptions contain sufficient information to justify the invoice charges;</text>
  </paragraph>
  <paragraph num="G.">
    <text>Provide services without regard to race, creed, color, age, sex, national origin, marital status, physical or mental handicap;</text>
  </paragraph>
  <paragraph num="H.">
    <text>Agree that the provider may not employ knowingly a person who has been disqualified from the Program to compound or dispense Medical Assistance prescriptions, unless prior written approval has been received from the Department;</text>
  </paragraph>
  <paragraph num="I.">
    <text>Verify the participant’s eligibility before dispensing covered drugs;</text>
  </paragraph>
  <paragraph num="J.">
    <text>Place no restriction on the participant’s right to select providers of the participant’s choice;</text>
  </paragraph>
  <paragraph num="K.">
    <text>Agree that if the Program denies payment or requests repayment on the basis that an otherwise covered service was not medically necessary, the provider may not seek payment for that service from the participant;</text>
  </paragraph>
  <paragraph num="L.">
    <text>Maintain a record of the individual who picks up a prescription that includes:</text>
    <paragraph num="(1)">
      <text>The prescription number;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The name of the individual picking up the prescription;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The signature of the individual picking up the prescription; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The date the prescription was picked up;</text>
    </paragraph>
  </paragraph>
  <paragraph num="M.">
    <text>Reverse invoice charges for any prescription not picked up by the participant or their designee within 14 days;</text>
  </paragraph>
  <paragraph num="N.">
    <text>Maintain a record of a participant or designee’s written authorization for automatic refill, if automatic refills are provided;</text>
  </paragraph>
  <paragraph num="O.">
    <text>Agree that the provider may not deny services to any participant because of the individual’s inability to pay the copayment;</text>
  </paragraph>
  <paragraph num="P.">
    <text>Agree that if the Program denies payment due to late billing, the provider may not seek payment from the participant;</text>
  </paragraph>
  <paragraph num="Q.">
    <text>On the Department’s request, provide within 15 days all invoices, as defined in Regulation .01B(24)(b) of this chapter, to assess the AAC; and</text>
  </paragraph>
  <paragraph num="R.">
    <text>Participate in the cost of dispensing survey and, on the Department’s request and within the Department’s timeline, provide to the Department all documentation that the Department or its designee determines is necessary.</text>
  </paragraph>
</regulation>