# COMAR Title 10 — Maryland Department of Health

## Subtitle 09 — Medical Care Programs

### Chapter 93 — Chronic Hospitals

#### Regulation .03 Conditions for Participation — General.

*COMAR 10.09.93.03*

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.