<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.09.80.03" title_num="10" subtitle_num="09" chapter_num="80" heading="Conditions for Provider Participation.">
  <paragraph num="A.">
    <text>A provider shall be in compliance with COMAR 10.09.36.03 and 10.63.01.05.</text>
  </paragraph>
  <paragraph num="B.">
    <text>A provider of community-based substance use disorder services shall include:</text>
    <paragraph num="(1)">
      <text>Community-based substance use disorder providers that:</text>
      <paragraph num="(a)">
        <text>Are licensed by the Department as community-based substance use disorder providers pursuant to the requirements listed in Regulation .05 of this chapter;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Maintain verification of licenses and credentials of all professionals employed by or under contract with the provider in their respective personnel files; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Require any physician assistant employed by the provider to have a delegation agreement with the supervising physician in accordance with COMAR 10.09.55.02 and .03;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Federally qualified health centers in compliance with COMAR 10.09.08; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Opioid treatment programs that:</text>
      <paragraph num="(a)">
        <text>Are licensed by the Department’s Behavioral Health Administration;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Are approved by the U.S. Drug Enforcement Administration; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Comply with 42 CFR Part 8.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A provider of substance use disorder services shall maintain adequate documentation of each contact with a participant as part of the medical record, which, at a minimum, includes:</text>
    <paragraph num="(1)">
      <text>The date of service with start and end times;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Documents all services received by the participant;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The participant’s primary reason for the substance use disorder visit;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>A description of the service provided;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Progress notes; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>An official e-Signature, or a legible signature, along with the printed or typed name of the individual providing care, with the appropriate degree or title.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>The providers shall make the documentation required under Regulation .05C available, as requested to carry out required activities, to:</text>
    <paragraph num="(1)">
      <text>The Department;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The ASO;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The Core Service Agency;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The Local Addictions Authority;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>The Local Behavioral Health Authority;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>The Office of Inspector General of the Department; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>The Office of the Attorney General Medicaid Fraud Control Unit.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>A provider shall comply with all 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 num="F.">
    <text>If delivering services via telehealth, a provider shall comply with COMAR 10.09.49 and any subregulatory guidance issued by the Department.</text>
  </paragraph>
</regulation>