<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.09.08.03" title_num="10" subtitle_num="09" chapter_num="08" heading="Conditions for Participation.">
  <paragraph num="A.">
    <text>General requirements for participation in the Program are that a provider shall:</text>
    <paragraph num="(1)">
      <text>Meet all the conditions for participation as set forth in COMAR 10.09.36; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>If delivering services via telehealth, comply with COMAR 10.09.49 and any subregulatory guidance issued by the Department.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Specific requirements for participation in the Program as a freestanding clinic provider require that the provider:</text>
    <paragraph num="(1)">
      <text>Meet the applicable standards and requirements of Regulation .04 of this chapter;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Verify the licenses and credentials of all professionals employed by or under contract with the freestanding clinic to provide services;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Have clearly defined, written, patient care policies;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Maintain adequate documentation of each contact with each participant as part of the plan of care, which, at a minimum, shall include:</text>
      <paragraph num="(a)">
        <text>Date of service;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Participant’s chief medical complaint or reason for visit;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A brief description of the physical findings and the service provided, including procedures and progress notes; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>A legible signature and printed or typed name of professional providing care, with the appropriate title;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Have written, effective procedures for infection control under COMAR 10.06.01 Communicable Diseases;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Maintain adequate administrative and medical records which are defined as having documentation sufficient in quantity, scope, and detail to confirm that the freestanding clinic services are provided in accordance with this chapter;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Be approved by the Medicaid program in the state in which the service is provided; and</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Provide for in-house program evaluation and clinical record review which assess use of services for appropriateness in meeting client's needs.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>In the absence of specifically applicable regulations, a freestanding clinic shall:</text>
    <paragraph num="(1)">
      <text>Comply with §A of this regulation;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Comply with specific conditions, which may be included in the written agreement; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Accept reimbursement according to COMAR 10.09.02 Physicians’ Services.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Abortion clinics shall provide services in accordance with Health-General Article, §20-209, Annotated Code of Maryland.</text>
  </paragraph>
</regulation>