A provider shall meet all conditions for participation as set forth in COMAR 10.09.36.03. To participate in the Program as a special psychiatric 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 Department of Health and Human Services; Meet the following staffing requirements 24 hours per day, 7 days per week: On-call or on-site physician services including psychiatric physicians; On-site registered nurses; On-site advanced cardiac life support services; If licensed to provide inpatient psychiatric services for individuals younger than 21 years old: Meet the requirements for participation as defined in 42 CFR §440.160; and Provide acute psychiatric services as defined in 42 CFR Part 441, Subpart D; 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; Maintain documentation of each contact with the participant as part of the medical record, which, at a minimum, includes: Date of service; A plan of treatment as defined in Regulation .01B of this chapter; The participant’s chief medical complaint or reason for visit; 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; Submit to the Department or its designee within 5 months of the close of the hospital’s fiscal year, as required by the Department, a hospital cost report for outpatient services which are subject to cost settlement in accordance with Regulation .11 of this chapter; If an out-of-State or District of Columbia hospital, the special psychiatric hospital shall: Unless a waiver has been granted by the Secretary of Health and Human Services, have in effect a utilization review plan applicable to all participants who receive Medical Assistance under Title XVII of the Social Security Act which meets the requirements of §1861(k) of the Social Security Act; and Comply with applicable regulations of this chapter and COMAR 10.09.36.