Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.93 - Chronic Hospitals
Section 10.09.93.03 - Cost Settlement for State-operated Chronic Hospitals - Payments and Appeals
Universal Citation: MD Code Reg 10.09.93.03
Current through Register Vol. 51, No. 19, September 20, 2024
A. A provider shall meet all conditions for participation as set forth in COMAR 10.09.36.03.
B. To participate in the Program as a chronic hospital services provider, the provider shall:
(1) Meet the requirements of Title XLX of the
Social Security Act for participation as a hospital, as issued by the U.S.
Department of Health and Human Services;
(2) 24 hours per day, 7 days per week, meet
the following staffing requirements:
(a)
On-call or on-site physician services;
(b) On-site registered nurses;
(c) On-site respiratory therapist services;
and
(d) On-site advanced cardiac
life support services;
(3) Directly provide or make available
through contractual arrangements or transfer agreements, medically necessary
covered services;
(4) Accept
payment by the Program as payment in full for the covered service;
(5) Make available to the Department or its
designee the participant's medical record for review and certification of
medical necessity for admission and continuation of stay; and
(6) Maintain documentation of each contact
with the participant as part of the complete medical record, which, at a
minimum, includes:
(a) Date of
service;
(b) The participant's
chief medical complaint or reason for admission;
(c) A description of the services provided,
including:
(i) Progress notes;
(ii) Imaging studies;
(iii) Laboratory results;
(iv) Medication administration records;
and
(v) Discharge summary;
and
(d) A signature,
electronic or handwritten, along with the printed or typed name of the
individual providing care, with the appropriate title.
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