# COMAR 10.09.93.03: COMAR 10.09.93.03. Conditions for Participation — General

> Maryland · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_93_03

## Section

- **Citation:** COMAR 10.09.93.03
- **Heading:** COMAR 10.09.93.03. Conditions for Participation — General
- **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 93 Chronic Hospitals / COMAR 10.09.93.03

## 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 a chronic 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 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.
Cross References 10.09.93.04B

## Nearby sections

- [COMAR 10.09.93.01 COMAR 10.09.93.01. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_93_01.md)
- [COMAR 10.09.93.02 COMAR 10.09.93.02. License Requirements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_93_02.md)
- [COMAR 10.09.93.03 COMAR 10.09.93.03. Conditions for Participation — General](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_93_03.md)
- [COMAR 10.09.93.04 COMAR 10.09.93.04. Specific Conditions for Provider Participation — Brain Injury Community Integration Program](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_93_04.md)
- [COMAR 10.09.93.05 COMAR 10.09.93.05. Covered Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_93_05.md)
- [COMAR 10.09.93.06 COMAR 10.09.93.06. Limitations](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_93_06.md)
- [COMAR 10.09.93.07 COMAR 10.09.93.07. Medical Eligibility](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_93_07.md)
- [COMAR 10.09.93.08 COMAR 10.09.93.08. Utilization Review](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_93_08.md)
- [COMAR 10.09.93.09 COMAR 10.09.93.09. Payment Procedures](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_93_09.md)
- [COMAR 10.09.93.10 COMAR 10.09.93.10. Cost Reporting — State-Operated Chronic Hospitals](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_93_10.md)
- [COMAR 10.09.93.11 COMAR 10.09.93.11. Cost Settlement — State-operated Chronic Hospitals](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_93_11.md)
- [COMAR 10.09.93.12 COMAR 10.09.93.12. Cost Settlement for State-operated Chronic Hospitals — Payments and Appeals](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_93_12.md)
- [COMAR 10.09.93.13 COMAR 10.09.93.13. Recovery and Reimbursement](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_93_13.md)
- [COMAR 10.09.93.14 COMAR 10.09.93.14. Cause for Suspension or Removal and Imposition of Sanctions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_93_14.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_93_03. Check the current official text before relying on it. Not legal advice.