Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.76 - School-Based Health Centers (SBHC)
Section 10.09.76.03 - Conditions for Participation
Universal Citation: MD Code Reg 10.09.76.03
Current through Register Vol. 51, No. 19, September 20, 2024
A. General requirements for participation in the Program are that a provider shall:
(1) Meet 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. To participate as a Maryland Medicaid SBHC, a provider shall:
(1) Be approved by the Maryland Department of
Health as an SBHC;
(2) Meet
conditions for participation as a:
(a)
Free-standing clinic as set forth in COMAR
10.09.08.03B;
(b) Physician as set forth in COMAR
10.09.02.03; or
(c) Nurse practitioner as set forth in COMAR
10.09.01.03.
(3) Provide
somatic health care services through health professionals who:
(a) Are trained and experienced in community
health and providing health care services to school-aged children;
(b) Have knowledge of health promotion and
illness prevention strategies for children and adolescents; and
(c) Are EPSDT certified;
(4) Ensure staff is assigned responsibilities
consistent with the staff's education and experience and within the staff's
scope of practice;
(5) Designate an
individual to be responsible for overall management of the SBHC;
(6) Whenever comprehensive primary health
services are being delivered, maintain a staffing pattern that includes at
least one of the following on-site:
(a) A
physician;
(b) A nurse
practitioner; or
(c) A physician
assistant;
(7) Maintain
policies and procedures that ensure confidentiality of services and records
which are practiced consistently, in accordance with Health-General Article,
§4-301, Annotated Code of Maryland;
(8) Maintain data collection and storage
capabilities adequate to maintain medical records and standard demographic
data;
(9) Require any physician
assistant employed by the provider to have a delegation agreement with the
supervising physician in accordance with COMAR
10.09.55.02 and .03; and
(10) Transmit a health visit report:
(a) To the student's MCO and PCP within 3
business days of the health visit, as designated by the Department, for
inclusion in the student-participant's medical record; and
(b) If follow-up care with the PCP within 1
week of the health visit is required and the health visit report is mailed, to
the student's MCO and PCP by telephone, email, or fax on the day of the SBHC
visit.
C. Specific requirements for participation in the Program as a dentist or dental hygienist in an SBHC are that a provider shall meet the conditions for participation as set forth in COMAR 10.09.05.03A-E.
Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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