COMAR 10.09.69.06. Requirements for Provider Qualification

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Code of Maryland Regulations › Title 10 MARYLAND DEPARTMENT OF HEALTH › Subtitle 09 MEDICAL CARE PROGRAMS › Chapter 69 Maryland Medicaid Managed Care Program: Rare and Expensive Case Management › COMAR 10.09.69.06

This text was captured on Aug 14, 2026. It is a snapshot, not a live feed, so check the official code before relying on it.

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A. A case manager providing case management under this chapter shall be:

(1) An RN; or

(2) A social worker.

B. The following professionals providing services under this chapter to REM participants shall be licensed, certified, or otherwise legally authorized to practice in the jurisdiction in which the services are rendered:

(1) Physicians;

(2) Physician Assistants;

(3) Nurse Practitioners;

(4) RNs and LPNs;

(5) Chiropractors;

(6) Dentists;

(7) Dietitian-Nutritionists;

(8) Occupational therapists;

(9) Social workers;

(10) Speech-language pathologists; and

(11) CNAs, HHAs, CNA-CMTs, and HHA-CMTs.

C. A provider rendering services pursuant to this chapter shall meet all applicable licensure and certification requirements of the jurisdiction in which the provider is providing services.

D. A provider rendering services to REM participants, pursuant to this chapter, may not have current sanctions or current disciplinary actions imposed by:

(1) The jurisdictional licensing or certification authority;

(2) The Medicare Program;

(3) The Program; or

(4) Other federally funded healthcare programs.

Cross References 10.09.69.07B 10.67.04.19C(2)

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.