Md. Code Regs. 10.09.02.03

Current through Register Vol. 51, No. 25, December 13, 2024

Section 10.09.02.03 - Conditions for Participation

A. General requirements for participation in the Program are that a provider shall:

(1) Meet all the conditions for participation as set forth in COMAR 10.09.36; and

(2) If delivering services via telehealth, comply with COMAR 10.09.49 and any subregulatory guidance issued by the Department.

B. Specific requirements for participation in the Program as a physicians' services provider require that the provider:

(1) Shall submit documentation of consultant-specialist status if applying for that status;

(2) May not place a restriction on a participant's right to select providers of his or her choice;

(3) May not knowingly employ or contract with a person, partnership, or corporation which has been disqualified from the Program to provide or supply services to Medical Assistance participants unless prior written approval has been received from the Department;

(4) Shall agree to personally sign all requests for laboratory or other diagnostic services, or to require that copies of personally signed order sheets be supplied to participating providers of these services;

(5) Shall agree, when requesting laboratory or other diagnostic services, to supply his or her individual practitioner identification (rendering) number to those participating providers;

(6) Shall agree to identify by the individual physician practitioner's identification number each physician assistant who is authorized by the physician to request laboratory services; and

(7) Shall comply with the requirements for the delivery of mental health services in accordance with COMAR 10.09.59 and 10.09.70.

Md. Code Regs. 10.09.02.03

Existing regulations repealed and new Regulations .03 adopted effective December 8, 1976 (3:25 Md. R. 1467)
Regulations .03 amended effective July 1, 1979 (6:13 Md. R. 1126)
Regulations .03 amended as an emergency provision effective July 1, 1997 (24:18 Md. R. 1286) (Emergency provisions are temporary and not printed in COMAR)
Regulations .03 amended as an emergency provision effective September 16, 1992 (19:20 Md. R. 1812); amended permanently effective January 1, 1993 (19:25 Md. R. 2205)
Regulation .03A amended effective October 1, 1985 (12:19 Md. R. 1848)
Regulation .03B adopted effective December 29, 1997 (24:26 Md. R. 1757)
Regulation .03B amended effective March 6, 2000 (27:4 Md. R. 453)
Regulation .03G amended effective October 1, 1985 (12:19 Md. R. 1848); December 12, 1988 (15:25 Md. R. 2902)
Regulation .03I adopted effective January 6, 1983 (9:26 Md. R. 2572)
Regulations .03I_K effective December 12, 1988 (15:25 Md. R. 2902)
Regulation .03J adopted effective January 30, 1984 (11:2 Md. R. 113)
Regulation .03K adopted effective October 1, 1985 (12:19 Md. R. 1848)
Regulation .03 amended as an emergency provision effective March 15, 1990 (17:7 Md. R. 843); emergency status expired June 30, 1990; amended permanently effective July 9, 1990 (17:13 Md. R. 1611)
Regulation .03O adopted effective October 15, 1990 (17:20 Md. R. 2426); amended effective 44:17 Md. R. 834, eff. 8/28/2017; amended effective 50:13 Md. R. 512, eff. 7/10/2023