# COMAR 10.09.26.03: COMAR 10.09.26.03. Conditions for Participation > Maryland · Regulations · In force URL: https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_26_03 ## Section - **Citation:** COMAR 10.09.26.03 - **Heading:** COMAR 10.09.26.03. Conditions for Participation - **Jurisdiction:** Maryland - **Kind:** Regulations - **Status:** In force - **Text as of:** August 14, 2026 - **Source:** Compiled text - **Location:** Code of Maryland Regulations / Title 10 MARYLAND DEPARTMENT OF HEALTH / Subtitle 09 MEDICAL CARE PROGRAMS / Chapter 26 Community Based Services for Developmentally Disabled Individuals Pursuant to a 1915(c) Waiver / COMAR 10.09.26.03 ## Text A. General requirements for participation in the Medical Assistance Program are that the providers: (1) Meet all conditions for participation specified in COMAR 10.09.36 , except as otherwise specified in this regulation; (2) Meet the licensure requirements as provided in Regulation .02 of this chapter ; (3) Have a provider agreement in effect with the Developmental Disabilities Administration and the Medical Assistance Program; (4) Verify the licenses of all service agencies with whom they contract and have a copy of the same available for inspection; (5) Verify the licenses and credentials of all professionals whom they employ or with whom they contract and have a copy of same available for inspection; (6) Maintain a written clinical record for each waiver participant which includes: (a) A copy of the waiver participant's signed statement indicating the alternatives of care locations offered to him or her, and his or her choice; (b) Date of: (i) Discharge from a State residential center or a nursing or chronic care facility into the services covered under this chapter; or (ii) Diversion from a State residential center or chronic care facility into the services covered under this chapter; and (7) Have waiver participants reevaluated annually by the interdisciplinary team. B. Services coordination providers shall submit individualized service plans to the DDA or its designee. C. Environmental Modifications. (1) Residential habilitation or residential option services providers shall provide environmental modifications as necessary to meet the needs of waiver participants after receiving prior authorization from DDA. (2) Environmental modifications shall be: (a) Provided by the residential habilitation or residential option services provider in getting a residence ready to be occupied; and difications. (1) Residential habilitation or residential option services providers shall provide environmental modifications as necessary to meet the needs of waiver participants after receiving prior authorization from DDA. (2) Environmental modifications shall be: (a) Provided by the residential habilitation or residential option services provider in getting a residence ready to be occupied; and (b) Performed in accordance with applicable codes of the locality. D. Respite Care. (1) Residential habilitation or residential option services providers shall provide respite care as necessary to meet the needs of waiver participants. (2) Respite care services shall be received in a: (a) State residential center; or (b) Community residence: (i) Operated by a provider of residential habilitation services; and (ii) Licensed by the State, in accordance with COMAR 10.22.03.02A(9)(b) and (c), to provide respite care. E. Medical day care providers: (1) Shall meet the requirements of COMAR 10.09.07 ; and (2) Are exempt from meeting the requirements of Regulation .18D of this chapter. ## Nearby sections - [COMAR 10.09.26.01 COMAR 10.09.26.01. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_26_01.md) - [COMAR 10.09.26.02 COMAR 10.09.26.02. Licensing Requirements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_26_02.md) - [COMAR 10.09.26.03 COMAR 10.09.26.03. Conditions for Participation](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_26_03.md) - [COMAR 10.09.26.04 COMAR 10.09.26.04. Covered Services for Services Coordination](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_26_04.md) - [COMAR 10.09.26.05 COMAR 10.09.26.05. Covered Services for Residential Habilitation](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_26_05.md) - [COMAR 10.09.26.06 COMAR 10.09.26.06. Covered Services for Day Habilitation](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_26_06.md) - [COMAR 10.09.26.07 COMAR 10.09.26.07. Covered Services for Environmental Modifications](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_26_07.md) - [COMAR 10.09.26.08 COMAR 10.09.26.08. Covered Services for Respite Care](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_26_08.md) - [COMAR 10.09.26.08-1 COMAR 10.09.26.08-1. Covered Services for Supported Employment](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_26_08_1.md) - [COMAR 10.09.26.08-2 COMAR 10.09.26.08-2. Covered Services for Residential Option Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_26_08_2.md) - [COMAR 10.09.26.08-3 COMAR 10.09.26.08-3. Assistive Technology and Adaptive Equipment](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_26_08_3.md) - [COMAR 10.09.26.08-4 COMAR 10.09.26.08-4. Covered Services for Intensive Behavior Management](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_26_08_4.md) - [COMAR 10.09.26.08-5 COMAR 10.09.26.08-5. Covered Services for Medical Day Care](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_26_08_5.md) - [COMAR 10.09.26.09 COMAR 10.09.26.09. Conditions for Reimbursement](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_26_09.md) --- Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_26_03. Check the current official text before relying on it. Not legal advice.