# COMAR Title 10 — Maryland Department of Health

## Subtitle 11 — Maternal and Child Health

### Chapter 03 — Children's Medical Services Program

#### Regulation .11 General Conditions of Provider Participation.

*COMAR 10.11.03.11*

A. A provider of services which are covered by the CMS Program shall comply with the following general requirements:

  (1) For fee for service reimbursement, be approved by Medical Assistance in writing as a Medical Assistance provider;

  (2) For copay and deductible reimbursement, be a participating provider with the insurance plan purchased by the CMS Program for the family;

  (3) Request preauthorization on the forms designated by the CMS Program;

  (4) Adhere to administrative procedures that are established by the CMS Program for the specific treatment services; and

  (5) Maintain adequate records, including prescriptions, for a minimum of 6 years, and make them available upon request to the Department or the Department's designee.

B. The approval referenced in §A(1) of this regulation shall specify, at a minimum, the following:

  (1) Approved services which may be provided; and

  (2) Duration of approval status.