<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.09.77.03" title_num="10" subtitle_num="09" chapter_num="77" heading="Conditions for Participation.">
  <paragraph num="A.">
    <text>The general requirements for participation in the Program are that a provider shall:</text>
    <paragraph num="(1)">
      <text>Meet all the conditions for participation as set forth in COMAR 10.09.36; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>If delivering services via telehealth, comply with COMAR 10.09.49 and any subregulatory guidance issued by the Department.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The specific requirements for participation in the Program as a free-standing urgent care center include the following:</text>
    <paragraph num="(1)">
      <text>Have clearly defined, written, patient care policies;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Define the center's hours of operation and clearly communicate those hours of operation to the public and other relevant organizations;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Ensure that patients seeking urgent care are seen without prior appointments;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>During the hours of operation, have:</text>
      <paragraph num="(a)">
        <text>A supervising physician, available for consultation either in-person or via telehealth; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>At least one qualified physician, certified nurse practitioner, or physician assistant present;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Maintain adequate documentation of each participant visit as part of the individual’s medical record, which, at a minimum, shall include:</text>
      <paragraph num="(a)">
        <text>Date of service;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Participant’s reason for visit;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A brief description of service provided; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>A legible signature and printed or typed name of the professional providing care, with the appropriate title;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>Have written, effective procedures for infection control which are known to all levels of staff as specified in COMAR 10.06.01; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Have laboratory testing and radiology services available to meet the needs of the patients receiving urgent care.</text>
    </paragraph>
  </paragraph>
</regulation>