# COMAR Title 10 — Maryland Department of Health

## Subtitle 09 — Medical Care Programs

### Chapter 77 — Urgent Care Centers

#### Regulation .03 Conditions for Participation.

*COMAR 10.09.77.03*

A. 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.

B. 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.