# COMAR Title 10 — Maryland Department of Health

## Subtitle 09 — Medical Care Programs

### Chapter 88 — Portable X-ray Providers

#### Regulation .03 Conditions for Participation.

*COMAR 10.09.88.03*

A. A provider shall meet all conditions for participation as set forth in COMAR 10.09.36.03.

B. The provider shall also:

  (1) Be certified by CMS to furnish portable X-ray services;

  (2) Meet the licensure requirements as provided in Regulation .02 of this chapter;

  (3) Meet performance standards in accordance with 42 CFR §410.33(g);

  (4) Ensure that portable X-ray services are rendered under the supervision of a qualified physician in accordance with 42 CFR §486.102;

  (5) Ensure that portable X-ray services are rendered by a qualified technician in accordance with 42 CFR §486.104;

  (6) Ensure that portable X-ray services performed for Medical Assistance recipients are ordered by a doctor of medicine or a doctor of osteopathy and records are properly preserved in accordance with 42 CFR §486.106;

  (7) Ensure that inspections of all X-ray equipment and shielding are made by qualified individuals at intervals not greater than 24 months in accordance with 42 CFR §486.110; and

  (8) Identify the ordering practitioner who authorized the diagnostic services by either:

    (a) Recording the National Provider Identifier (NPI) number for the individual practitioner on the claim; or

    (b) Recording the name and NPI of the authorized ordering practitioner on the invoice and attaching to the invoice a copy of the properly completed order that identifies the authorized ordering practitioner.