Regulation .03 Conditions for Participation — General.
Regulation .03 Conditions for Participation — General.LinkCopy Citation
A.
A provider shall meet all conditions for participation as set forth in COMAR 10.09.36.03.
B.
To participate in the Program as a chronic hospital services provider, the provider shall:
(1)
Meet the requirements of Title XIX of the Social Security Act for participation as a hospital, as issued by the U.S. Department of Health and Human Services;
(2)
24 hours per day, 7 days per week, meet the following staffing requirements:
(a)
On-call or on-site physician services;
(b)
On-site registered nurses;
(c)
On-site respiratory therapist services; and
(d)
On-site advanced cardiac life support services;
(3)
Directly provide or make available through contractual arrangements or transfer agreements, medically necessary covered services;
(4)
Accept payment by the Program as payment in full for the covered service;
(5)
Make available to the Department or its designee the participant’s medical record for review and certification of medical necessity for admission and continuation of stay; and
(6)
Maintain documentation of each contact with the participant as part of the complete medical record, which, at a minimum, includes:
(a)
Date of service;
(b)
The participant’s chief medical complaint or reason for admission;
(c)
A description of the services provided, including:
(i)
Progress notes;
(ii)
Imaging studies;
(iii)
Laboratory results;
(iv)
Medication administration records; and
(v)
Discharge summary; and
(d)
A signature, electronic or handwritten, along with the printed or typed name of the individual providing care, with the appropriate title.