A provider shall meet all conditions for participation as set forth in COMAR 10.09.36.03. To participate in the Program as a chronic hospital services provider, the provider shall: 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; 24 hours per day, 7 days per week, meet the following staffing requirements: On-call or on-site physician services; On-site registered nurses; On-site respiratory therapist services; and On-site advanced cardiac life support services; Directly provide or make available through contractual arrangements or transfer agreements, medically necessary covered services; Accept payment by the Program as payment in full for the covered service; 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 Maintain documentation of each contact with the participant as part of the complete medical record, which, at a minimum, includes: Date of service; The participant’s chief medical complaint or reason for admission; A description of the services provided, including: Progress notes; Imaging studies; Laboratory results; Medication administration records; and Discharge summary; and A signature, electronic or handwritten, along with the printed or typed name of the individual providing care, with the appropriate title.