<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.09.87.03" title_num="10" subtitle_num="09" chapter_num="87" heading="Conditions for Participation.">
  <paragraph num="A.">
    <text>General requirements for participation in the Program are that a provider shall meet all conditions for participation as set forth in COMAR 10.09.36.03.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Requirements for participation in the Program as an IDTF provider/mobile IDTF provider require that the provider:</text>
    <paragraph num="(1)">
      <text>Be approved by Medicare to furnish diagnostic services in an IDTF;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Meets the licensure requirements in accordance with Regulation .02 of this chapter; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Meets performance standards in accordance with 42 CFR §410.33(g).</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Specific Requirements for Participation in the Program as a Mobile IDTF Provider.</text>
    <paragraph num="(1)">
      <text>The mobile IDTF shall have electronic technology that enables the same day exchange of patient records with the treating physician’s office.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>An IDTF mobile unit shall:</text>
      <paragraph num="(a)">
        <text>Maintain physician’s order &amp; diagnostic test records for each patient;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Observe all patient rights;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Obtain written, informed consent from a parent or legal guardian before providing services to a minor;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Comply with all applicable federal, State, and local laws, regulations, and ordinances regulating:</text>
        <paragraph num="(i)">
          <text>Equipment;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Flammability;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Construction;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Infection control;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Sanitation procedures; and</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Zoning;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(e)">
        <text>Comply with the statutes and regulations of the Maryland Department of the Environment for all radiographic and imaging equipment;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Obtain all applicable county and city licenses or permits necessary to operate the mobile IDTF;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Provide access to a ramp or a lift if services are provided to disabled individuals;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Have ready access to an adequate supply of potable water, including hot water;</text>
      </paragraph>
      <paragraph num="(i)">
        <text>Have immediate access to toilet facilities;</text>
      </paragraph>
      <paragraph num="(j)">
        <text>Have an appropriately covered noncorrosive metal container for refuse and waste materials;</text>
      </paragraph>
      <paragraph num="(k)">
        <text>Have a carbon monoxide detection device or system installed and in proper working condition;</text>
      </paragraph>
      <paragraph num="(l)">
        <text>Have written procedures for medical emergencies; and</text>
      </paragraph>
      <paragraph num="(m)">
        <text>Have appropriate equipment to treat medical emergencies.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>The owner or owners of a mobile unit shall submit a business plan to the Department for the mobile unit that includes:</text>
      <paragraph num="(a)">
        <text>The mission of the mobile unit;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Verification of ownership of the mobile unit;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A list of the technical staff that will render services in the mobile unit; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The targeted population.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>