<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.54.02.04" title_num="10" subtitle_num="54" chapter_num="02" heading="Duties and Responsibilities.">
  <text>To participate in the Program, a local agency shall:</text>
  <paragraph num="A.">
    <text>Comply with the fiscal and operational requirements prescribed by the State agency or the federal government in:</text>
    <paragraph num="(1)">
      <text>This chapter;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>COMAR 10.54.01;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>7 CFR Part 3015;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>7 CFR Part 3016; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>7 CFR Part 246;</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Maintain the caseload within the prescribed performance standards of the State-assigned level over a prescribed time period as specified in the written agreement between the State agency and the local agency;</text>
  </paragraph>
  <paragraph num="C.">
    <text>Inform the State agency on a timely basis of clinic sites and hours of operation;</text>
  </paragraph>
  <paragraph num="D.">
    <text>Make available, contract to make available, or provide by referral, appropriate health services to participants and inform applicants of the health services which are available;</text>
  </paragraph>
  <paragraph num="E.">
    <text>Devise and implement a plan to make health services available to participants at the clinic or through written agreements with health care providers when health services are provided through referral;</text>
  </paragraph>
  <paragraph num="F.">
    <text>Provide Program benefits to the participant at no cost;</text>
  </paragraph>
  <paragraph num="G.">
    <text>Perform the certification procedure at no cost to the applicant;</text>
  </paragraph>
  <paragraph num="H.">
    <text>Have on its staff a competent professional authority as defined at COMAR 10.54.01.04;</text>
  </paragraph>
  <paragraph num="I.">
    <text>Maintain on file and have available for review, audit, and evaluation all criteria used for certification, including information on the:</text>
    <paragraph num="(1)">
      <text>Area served;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Income standards used; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Specific criteria used to determine nutritional risk;</text>
    </paragraph>
  </paragraph>
  <paragraph num="J.">
    <text>Provide nutrition education services to participants, in compliance with all State and federal statutes and regulations including:</text>
    <paragraph num="(1)">
      <text>Regulation .06 of this chapter;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>7 CFR 246; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>COMAR 10.54.01;</text>
    </paragraph>
  </paragraph>
  <paragraph num="K.">
    <text>Implement and operate a food delivery system prescribed by the State agency pursuant to these regulations and approved by the Food and Nutrition Service of the U.S. Department of Agriculture;</text>
  </paragraph>
  <paragraph num="L.">
    <text>Maintain complete, accurate, documented, and current accounting of all Program funds received and expended;</text>
  </paragraph>
  <paragraph num="M.">
    <text>Establish an internal monitoring system to review local agency operations and its associated clinics or contractors;</text>
  </paragraph>
  <paragraph num="N.">
    <text>Provide orientation and ongoing in-service training for staff;</text>
  </paragraph>
  <paragraph num="O.">
    <text>Inform the State agency of the content and schedule of training activities;</text>
  </paragraph>
  <paragraph num="P.">
    <text>Make staff available to attend training sessions offered by the State agency; and</text>
  </paragraph>
  <paragraph num="Q.">
    <text>Compile data, maintain records, and submit reports as required to permit effective enforcement of nondiscrimination laws and regulations.</text>
  </paragraph>
</regulation>