# COMAR 10.09.92.03: COMAR 10.09.92.03. Conditions for Participation > Maryland · Regulations · In force URL: https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_03 ## Section - **Citation:** COMAR 10.09.92.03 - **Heading:** COMAR 10.09.92.03. 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 92 Acute Hospitals / COMAR 10.09.92.03 ## Text 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 an acute hospital services provider, the provider shall: (1) Meet the requirements of Title XIX of the Social Security Act for participation as a hospital, as issued by the Department of Health and Human Services; (2) Directly provide or make available through contractual arrangements or transfer agreements, medically necessary covered services; (3) Accept payment by the Program as payment in full for the covered service; (4) 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; (5) 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 visit; (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; and (6) If the hospital provider is the only hospital within the county, participate with each participating HealthChoice Managed Care Organization in the county. C. If an out-of-State or District of Columbia hospital, the hospital shall: (1) Unless a waiver has been granted by the Secretary of Health and Human Services, have in effect a utilization review plan applicable to all participants who receive Medical Assistance under Title XVII of the Social Security Act which meets the requirements of §1861(k) of the Social Security Act; and (2) Comply with applicable regulations of this chapter and COMAR 10.09.36 . ## Nearby sections - [COMAR 10.09.92.01 COMAR 10.09.92.01. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_01.md) - [COMAR 10.09.92.02 COMAR 10.09.92.02. License Requirements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_02.md) - [COMAR 10.09.92.03 COMAR 10.09.92.03. Conditions for Participation](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_03.md) - [COMAR 10.09.92.04 COMAR 10.09.92.04. Covered Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_04.md) - [COMAR 10.09.92.05 COMAR 10.09.92.05. Limitations](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_05.md) - [COMAR 10.09.92.06 COMAR 10.09.92.06. Utilization Review](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_06.md) - [COMAR 10.09.92.07 COMAR 10.09.92.07. Payment Procedures](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_07.md) - [COMAR 10.09.92.08 COMAR 10.09.92.08. District of Columbia Hospital Reimbursement](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_08.md) - [COMAR 10.09.92.09 COMAR 10.09.92.09. Submitting Cost Reports for Freestanding Acute Rehabilitation Hospitals](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_09.md) - [COMAR 10.09.92.10 COMAR 10.09.92.10. Cost Settlement for Freestanding Acute Rehabilitation Hospitals](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_10.md) - [COMAR 10.09.92.11 COMAR 10.09.92.11. Recovery and Reimbursement](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_11.md) - [COMAR 10.09.92.12 COMAR 10.09.92.12. Cause for Suspension or Removal and Imposition of Sanctions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_12.md) - [COMAR 10.09.92.13 COMAR 10.09.92.13. Appeal Procedures](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_13.md) - [COMAR 10.09.92.14 COMAR 10.09.92.14. Interpretive Regulation](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_14.md) --- Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_92_03. Check the current official text before relying on it. Not legal advice.