Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.69 - Maryland Medicaid Managed Care Program: Rare and Expensive Case Management
Section 10.09.69.07 - Conditions for Participation-General Requirements

Universal Citation: MD Code Reg 10.09.69.07

Current through Register Vol. 51, No. 19, September 20, 2024

A provider rendering services pursuant to this chapter shall:

A. Meet the applicable conditions for participation set forth in COMAR 10.09.36;

B. Meet the provider qualification requirements specified in Regulation .06 of this chapter for its provider type;

C. Meet the specific conditions for provider participation set forth in this chapter;

D. Provide services in accordance with the applicable requirements of this chapter and all other relevant State and local laws and regulations;

E. Verify the qualifications of all subcontracted or employed professionals and individuals engaged by the provider agency to render services covered under this chapter and provide a copy of their current licensure and credentials on request to the Department;

F. Provide services to REM program participants in a manner consistent with the REM participant's plan of care; and

G. When the Department determines it is necessary, participate in the interdisciplinary team meetings for the purpose of:

(1) Developing and implementing a participant's treatment plan or plan of care with the Department; or

(2) Accessing a specific service.

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