<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".09" citation="COMAR 10.09.26.09" title_num="10" subtitle_num="09" chapter_num="26" heading="Conditions for Reimbursement.">
  <text>The Department shall reimburse for services in Regulations .04—.08-5 of this chapter when they are:</text>
  <paragraph num="A.">
    <text>Provided to waiver participants;</text>
  </paragraph>
  <paragraph num="B.">
    <text>With the exception of medical day care services, contained in the waiver participant's plan of care, approved initially and within 12 months after that by a:</text>
    <paragraph num="(1)">
      <text>Licensed physician;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Licensed physician's assistant or licensed nurse practitioner in accordance with applicable law; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Qualified developmental disabilities professional; and</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>With the exception of medical day care services, adequately described in the progress notes in the waiver participant's record, signed and dated by a qualified developmental disabilities professional.</text>
  </paragraph>
</regulation>