# COMAR Title 10 — Maryland Department of Health

## Subtitle 11 — Maternal and Child Health

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

#### Regulation .12 Conditions of Hospital Participation.

*COMAR 10.11.03.12*

A hospital shall:

A. Comply with all relevant State and federal requirements related to the provision of health services and the receipt of funds;

B. Be licensed by the Department pursuant to the Hospital and Related Institutions subtitle, Health-General Article, Title 19, Subtitle 3, Annotated Code of Maryland, as a hospital, and be licensed, as may be required, by other applicable State and local laws;

C. Be accredited by the Joint Commission for Accreditation of Hospitals; and

D. Provide the following services:

  (1) A physician specialist who is qualified in the area of need for which a recipient is hospitalized, and who shall supervise and be involved in:

    (a) The ongoing care of a child; and

    (b) Directing the development of the CMP and other appropriate care plans;

  (2) Pediatric physician supervision on a full-time or part-time basis to assist with:

    (a) Diagnostic evaluations;

    (b) Care planning and treatment; and

    (c) Coordination with others involved in the development of the CMP;

  (3) Nursing services provided by a qualified nurse who has academic preparation and work experience in the care of children, including the specialty area of the condition to be treated;

  (4) Surgical services, which shall have, as a minimum:

    (a) Anesthesiologists trained and experienced in the management of pediatric patients; and

    (b) An appropriate recovery area which is staffed by personnel qualified in pediatrics and equipped with appropriate types and sizes of supplies and equipment;

  (5) Available consultation in other specialty areas for the cases being treated;

  (6) Other specialized support services, which shall include, but not be limited to, the following as appropriate:

    (a) Audiology;

    (b) Nutrition;

    (c) Occupational therapy;

    (d) Physical therapy;

    (e) Psychiatry;

    (f) Psychology;

    (g) Social work services; and

    (h) Speech-language pathology;

  (7) An ongoing inpatient educational program for school-age children, which is approved by the State Department of Education, when long-term hospitalization is required;

  (8) Discharge planning procedures designed to maximize a child's recovery and rehabilitation, which shall include the following:

    (a) Predischarge planning activities to include all appropriate staff and representatives of other agencies involved or indicated;

    (b) Parental counseling regarding a child's medical and social needs after the child's release; and

    (c) Medical care planning resulting from input of the professionals concerned with a child's treatment;

  (9) A discharge summary, which shall include as a minimum, the following:

    (a) Medications, primary and secondary diagnoses, hospital course, procedures performed, and complications;

    (b) Special equipment and other home care needs; and

    (c) Follow-up plans including special transportation needs, if applicable;

  (10) A separate area for a child, with provisions made for a parent or guardian to stay 24 hours, and nonrestrictive visiting hours for a parent or guardian;

  (11) Suitable recreational facilities for children;

  (12) Facilities to isolate children with communicable diseases or other conditions requiring isolation or separation;

  (13) Access to appropriate clinical laboratory facilities providing specialized diagnostic and treatment equipment, including radiological and nuclear medicine equipment; and

  (14) Outpatient facilities to provide follow-up care.