# COMAR 10.09.69.06: COMAR 10.09.69.06. Requirements for Provider Qualification

> Maryland · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_06

## Section

- **Citation:** COMAR 10.09.69.06
- **Heading:** COMAR 10.09.69.06. Requirements for Provider Qualification
- **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 69 Maryland Medicaid Managed Care Program: Rare and Expensive Case Management / COMAR 10.09.69.06

## Text

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)

## Nearby sections

- [COMAR 10.09.69.01 COMAR 10.09.69.01. Purpose](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_01.md)
- [COMAR 10.09.69.02 COMAR 10.09.69.02. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_02.md)
- [COMAR 10.09.69.03 COMAR 10.09.69.03. REM Eligibility](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_03.md)
- [COMAR 10.09.69.04 COMAR 10.09.69.04. Participant Enrollment and Disenrollment](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_04.md)
- [COMAR 10.09.69.05 COMAR 10.09.69.05. Benefits](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_05.md)
- [COMAR 10.09.69.06 COMAR 10.09.69.06. Requirements for Provider Qualification](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_06.md)
- [COMAR 10.09.69.07 COMAR 10.09.69.07. Conditions for Participation — General Requirements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_07.md)
- [COMAR 10.09.69.08 COMAR 10.09.69.08. Specific Conditions for Provider Participation](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_08.md)
- [COMAR 10.09.69.09 COMAR 10.09.69.09. Covered Services — General Requirements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_09.md)
- [COMAR 10.09.69.10 COMAR 10.09.69.10. Covered Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_10.md)
- [COMAR 10.09.69.11 COMAR 10.09.69.11. Covered Optional Services — Private Duty Nursing, Certified Nursing Assistant, Certified Nursing Assistant Certified as a Certified Medication Technician, Home Health Aide and Home Health Aide Certified as a Certified Medication Technician](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_11.md)
- [COMAR 10.09.69.12 COMAR 10.09.69.12. Limitations](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_12.md)
- [COMAR 10.09.69.13 COMAR 10.09.69.13. Preauthorization Requirements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_13.md)
- [COMAR 10.09.69.14 COMAR 10.09.69.14. Payment Procedures — Request for Payment](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_14.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_69_06. Check the current official text before relying on it. Not legal advice.