<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.09.59.03" title_num="10" subtitle_num="09" chapter_num="59" heading="General Conditions for Provider Participation.">
  <text>To participate in the Program, a provider shall:</text>
  <paragraph num="A.">
    <text>Meet the conditions for provider participation in the Medical Assistance Program as set forth in COMAR 10.09.36.03;</text>
  </paragraph>
  <paragraph num="B.">
    <text>Meet the conditions for licensure and practice as set forth in COMAR 10.63.01, 10.63.02, and 10.63.06;</text>
  </paragraph>
  <paragraph num="C.">
    <text>Have clearly defined and written patient care policies; and</text>
  </paragraph>
  <paragraph num="D.">
    <text>Maintain, either manually or electronically, adequate documentation of each contact with a participant as part of the medical record, which, at a minimum, meets the following requirements:</text>
    <paragraph num="(1)">
      <text>Includes the date of service with service start and end times;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Includes the participant’s primary behavioral health complaint or reason for the visit;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Includes a brief description of the service provided, including progress notes;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Includes an official e-Signature, or a legible signature, along with the printed or typed name of the individual providing care, with the appropriate title;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Is made available to the following as requested:</text>
      <paragraph num="(a)">
        <text>The Department;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The ASO;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The Core Service Agency;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The Office of Inspector General; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>The Office of the Attorney General Medicaid Fraud Control Unit; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>Is consistent with the medical records confidentiality and disclosure requirements of:</text>
      <paragraph num="(a)">
        <text>Maryland Confidentiality of Medical Records Act, Health-General Article, Title 4, Subtitle 3, Annotated Code of Maryland; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Relevant federal statutes and regulations, including the Health Insurance Portability and Accountability Act, 42 U.S.C. §1320D et seq., and implementing regulations at 45 CFR Parts 160 and 164.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>