<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".11" citation="COMAR 10.11.03.11" title_num="10" subtitle_num="11" chapter_num="03" heading="General Conditions of Provider Participation.">
  <paragraph num="A.">
    <text>A provider of services which are covered by the CMS Program shall comply with the following general requirements:</text>
    <paragraph num="(1)">
      <text>For fee for service reimbursement, be approved by Medical Assistance in writing as a Medical Assistance provider;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>For copay and deductible reimbursement, be a participating provider with the insurance plan purchased by the CMS Program for the family;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Request preauthorization on the forms designated by the CMS Program;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Adhere to administrative procedures that are established by the CMS Program for the specific treatment services; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>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.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The approval referenced in §A(1) of this regulation shall specify, at a minimum, the following:</text>
    <paragraph num="(1)">
      <text>Approved services which may be provided; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Duration of approval status.</text>
    </paragraph>
  </paragraph>
</regulation>