<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.09.22.03" title_num="10" subtitle_num="09" chapter_num="22" heading="Conditions for Participation.">
  <paragraph num="A.">
    <text>General requirements for participation in the Program are that a provider shall meet all conditions for participation as set forth in COMAR 10.09.36.03.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Specific requirements for participation in the Program as a free-standing dialysis facility include all of the following:</text>
    <paragraph num="(1)">
      <text>Be approved by Medicare to furnish dialysis service to kidney disease patients and maintain documentation of certification by the Division of Survey and Certification of CMS.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Verify the licenses and credentials of all professionals employed by, or under contract with, the free-standing dialysis facility to provide services.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Meet the requirements of COMAR 10.30.01.05C, for a dialysis facility, home dialysis unit, or self-care dialysis facility, or all of the above.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Have clearly defined, written, patient care policies.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Maintain adequate documentation of each participant visit, 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 reason for visit;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A brief description of service provided;</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="(6)">
      <text>Have written, effective procedures for infection control which are known to all levels of staff as specified in COMAR 10.06.01.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Maintain adequate administrative and medical records which are defined as having documentation sufficient in quantity, scope, and detail to confirm that the free-standing dialysis facility services are provided in accordance with this regulation.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Not employ or contract with a person, partnership, or corporation which the Program has disqualified from providing or supplying services to Medical Assistance participants.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Be approved by the Medical Assistance Program in the state in which the service is provided.</text>
    </paragraph>
  </paragraph>
</regulation>