To participate in the program as a provider of items or services that substitute for human assistance, the provider shall: Be approved and monitored by the Department; Provide or arrange for any installation, maintenance, training, or monitoring required for the proper operation of the device or system, if applicable; and Receive a referral from the participant, participant’s case manager, or supports planner, based on services preauthorized in the plan of service. To participate in the Program as a provider of home-delivered meals, the provider shall: Use a cooking facility or food preparation site that has a food service license issued by the local health department, in accordance with COMAR 10.15.03, or an appropriate license from the state in which the site is located; and Be approved for each licensing renewal based on inspections performed by State sanitarians in accordance with COMAR 10.15.03, or by the licensing authority in the state in which the site is located. To participate in the Program as a provider of assistive devices, equipment, or technology services, the provider shall be one of the following entities: A Program provider of disposable medical supplies and durable medical equipment under COMAR 10.09.12; or The store, vendor, organization, or company which sells or rents the equipment or system, subject to Department approval. To participate as a provider of accessibility adaptations a provider shall: Have a current license with the Maryland Home Improvement Commission; and Be approved by the Department.