Regulation .03 Conditions for Participation.

The general requirements for participation in the Program are that a provider shall:

(1)

Meet all the conditions for participation as set forth in COMAR 10.09.36; and

(2)

If delivering services via telehealth, comply with COMAR 10.09.49 and any subregulatory guidance issued by the Department.

The specific requirements for participation in the Program as a free-standing urgent care center include the following:

(1)

Have clearly defined, written, patient care policies;

(2)

Define the center's hours of operation and clearly communicate those hours of operation to the public and other relevant organizations;

(3)

Ensure that patients seeking urgent care are seen without prior appointments;

(4)

During the hours of operation, have:

(a)

A supervising physician, available for consultation either in-person or via telehealth; and

(b)

At least one qualified physician, certified nurse practitioner, or physician assistant present;

(5)

Maintain adequate documentation of each participant visit as part of the individual’s medical record, which, at a minimum, shall include:

(a)

Date of service;

(b)

Participant’s reason for visit;

(c)

A brief description of service provided; and

(d)

A legible signature and printed or typed name of the professional providing care, with the appropriate title;

(6)

Have written, effective procedures for infection control which are known to all levels of staff as specified in COMAR 10.06.01; and

(7)

Have laboratory testing and radiology services available to meet the needs of the patients receiving urgent care.