<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".14" citation="COMAR 10.09.81.14" title_num="10" subtitle_num="09" chapter_num="81" heading="Specific Conditions for Provider Participation — Nursing Supervision of Attendants.">
  <paragraph num="A.">
    <text>To participate in the ICS Program as a provider of nursing supervision of attendants under Regulation .31 of this chapter, a provider shall be:</text>
    <paragraph num="(1)">
      <text>A self-employed registered nurse or nurse practitioner licensed according to COMAR 10.27.01 and 10.27.07; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>An agency or clinic which employs registered nurses or nurse practitioners licensed according to COMAR 10.27.01 and 10.27.07.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The registered nurse or nurse practitioner who renders nursing supervision services shall:</text>
    <paragraph num="(1)">
      <text>Be an individual who is:</text>
      <paragraph num="(a)">
        <text>Self-employed; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Employed by or under contract with an agency as specified in §A(2) of this regulation;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Meet the requirements of the Maryland Board of Nursing regarding nursing services and delegation of nursing functions in accordance with COMAR 10.27.11;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Be willing to delegate nursing tasks to unlicensed, certified individuals according to COMAR 10.27.11; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Maintain detailed, written documentation of services rendered to participants including progress notes and service outcomes, as specified by the Department.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A provider shall ensure that a nurse monitor is available to provide the nursing supervision services specified in Regulation .31 of this chapter.</text>
  </paragraph>
</regulation>