Current through Register Vol. 51, No. 19, September 20, 2024
A. Case Management Providers. To participate
in the Program, a case management provider shall meet the conditions set forth
in Regulations .05 and .06 of this chapter.
B. Chiropractic Service
Providers. To participate in the Program, the chiropractic service provider
shall:
(1) Meet the:
(a) Conditions set forth in Regulation .06 of
this chapter; and
(b) Requirements
for chiropractic providers specified in COMAR 10.43.04;
(2) Develop a goal-directed treatment plan
that is based on an evaluation conducted during the initial assessment
requires:
(a) A review or evaluation of the
treatment plan 30 days after the initial assessment; and
(b) A review and update of the treatment plan
every 90 days; and
(3) Render services in
accordance with orders written by a physician, physician assistant, or nurse
practitioner.
C. Dental Service
Providers. To participate in the Program, the dental service provider shall
meet the:
(1) Conditions set forth in
Regulation .07 of this chapter; and
(2) Requirements for dental providers
specified in COMAR 10.09.05.
D. Nutritional
Supplement Providers. To participate as a provider of nutritional supplements,
a provider shall meet the:
(1) Conditions of
participation as set forth in Regulation .07 of this chapter; and
(2) Criteria of the conditions for
participation for pharmacy providers set forth in COMAR 10.09.03.
E. Shift Private Duty Nursing/CNA/CNA-CMT/HHA/HHA-CMT
Providers. To participate as a provider agency for shift private duty nursing,
CNA, CNA-CMT, HHA, or HHA-CMT services, a provider shall:
(1) Meet the conditions set forth in
Regulation .06 of this chapter;
(2)
Meet all requirements of conditions for participation set forth in COMAR
10.09.53.03;
(3)
Participate in interdisciplinary team meetings, when requested by the
Department or its designee;
(4)
Develop a goal-directed written nursing care plan that is based on an
evaluation conducted during the initial assessment, which requires:
(a) A review or evaluation of the nursing
care plan 30 days after the initial assessment; and
(b) A review and update of the nursing care
plan every 90 days;
(5)
Ensure timesheets are signed by the individual rendering services;
(6) Ensure a nurse's, CNA's, CNA-CMT's,
HHA's, or HHA-CMT's shift to be not more than a total of 60 hours per week or
16 consecutive hours and that the individual is off 8 or more hours before
starting another shift unless otherwise authorized by the Department;
(7) Obtain the participant's signature or the
signature of the participant's witness on the provider's official forms to
verify receipt of service; and
(8)
Be licensed as a:
(a) Residential service
agency in accordance with COMAR 10.07.05; or
(b) Home health agency in accordance with
COMAR 10.07.10 which meets the conditions of participation specified by the
Medicare program in 42 CFR § 484.36.
F.
Occupational Therapy Providers. To participate in the Program as a provider of
occupational therapy services, a provider shall:
(1) Meet the conditions set forth in
Regulation .07 of this chapter;
(2)
Be a self-employed occupational therapist licensed according to COMAR
10.46.01;
(3) Be an agency or
clinic which employs occupational therapists or be a Program provider of home
health services under COMAR 10.09.04; and
(4) Develop a goal-directed written treatment
plan that is based on an evaluation conducted during the initial assessment
which requires:
(a) A review or evaluation of
the treatment plan 30 days after the initial assessment; and
(b) A review and update of the treatment plan
every 90 days.
G. Speech-Language
Pathology Providers. To participate in the Program, a speech-language pathology
provider shall:
(1) Meet the conditions set
forth in Regulation .07 of this chapter;
(2) Be a self-employed speech-language
pathologist according to COMAR 10.41.03 or be a Program provider of home health
services under COMAR 10.09.04;
(3)
Be an agency or clinic that employs speech-language pathologists; and
(4)
Develop a goal-directed written treatment plan that is based on an initial
assessment, which requires:
(a) A review or
evaluation of the treatment plan 30 days after the initial assessment;
and
(b) A review and update of the
treatment plan every 90 days.
