Providers of Medical Assistance Program services shall, to the extent required by law, be licensed and legally authorized to practice or deliver services in the state in which the service is provided. The provider and the equipment personnel shall be licensed or registered in accordance with applicable federal, State and local laws in accordance with 42 CFR §486.100. The portable X-ray provider shall be certified and registered by the Department of Environment in accordance with COMAR 26.12.01—.03 A portable X-ray provider that performs mammography services shall be certified by the Food and Drug Administration (FDA). The driver that transports portable X-ray equipment: Shall possess a valid operator’s license appropriate for the type of vehicle that is driven; May not have violations related to the operation of a motor vehicle in the last 3 years; and May not have any violations involving alcohol or other illegal substances related to the operation of a motor vehicle in the last 10 years.