<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.09.61.06" title_num="10" subtitle_num="09" chapter_num="61" heading="Conditions for Provider Participation.">
  <paragraph num="A.">
    <text>Conditions for provider participation are those set forth in COMAR 10.09.07.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Providers shall maintain a service plan for each participant that includes:</text>
    <paragraph num="(1)">
      <text>Name, address, and telephone number of the participant;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Medical Assistance number of the participant;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Name and telephone number of the participant’s primary care provider and of any managed care organization with which the participant is enrolled;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Dated signatures of the participant or authorized representative, and each of the other individuals participating on the multidisciplinary team;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>A statement that the participant or authorized representative shall have access to the individual's medical day care services plan of care;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>A statement that enrollment is voluntary, but that the participant or the participant's caregiver shall notify the medical day care center when the participant is unable to attend;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Authorization and frequency of attendance of medical day care services;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Names of provider or providers that render waiver or State Plan services; and</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Approval by the Department or its designee.</text>
    </paragraph>
  </paragraph>
</regulation>