# COMAR 10.09.95.03: COMAR 10.09.95.03. Conditions for Participation > Maryland · Regulations · In force URL: https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_95_03 ## Section - **Citation:** COMAR 10.09.95.03 - **Heading:** COMAR 10.09.95.03. 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 95 Special Psychiatric Hospitals / COMAR 10.09.95.03 ## 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 special psychiatric 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) Meet the following staffing requirements 24 hours per day, 7 days per week: (a) On-call or on-site physician services including psychiatric physicians; (b) On-site registered nurses; (c) On-site advanced cardiac life support services; (3) If licensed to provide inpatient psychiatric services for individuals younger than 21 years old: (a) Meet the requirements for participation as defined in 42 CFR §440.160; and (b) Provide acute psychiatric services as defined in 42 CFR Part 441, Subpart D; (4) Directly provide or make available through contractual arrangements or transfer agreements, medically necessary covered services; (5) Accept payment by the Program as payment in full for the covered service; (6) 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; (7) Maintain documentation of each contact with the participant as part of the medical record, which, at a minimum, includes: (a) Date of service; (b) A plan of treatment as defined in Regulation .01B of this chapter ; (c) The participant’s chief medical complaint or reason for visit; (d) 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 medical record, which, at a minimum, includes: (a) Date of service; (b) A plan of treatment as defined in Regulation .01B of this chapter ; (c) The participant’s chief medical complaint or reason for visit; (d) 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 (e) A signature, electronic or handwritten, along with the printed or typed name of the individual providing care, with the appropriate title; (8) Submit to the Department or its designee within 5 months of the close of the hospital’s fiscal year, as required by the Department, a hospital cost report for outpatient services which are subject to cost settlement in accordance with Regulation .11 of this chapter ; C. If an out-of-State or District of Columbia hospital, the special psychiatric 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 10.09.95.01 COMAR 10.09.95.01. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_95_01.md) - [COMAR 10.09.95.02 COMAR 10.09.95.02. License Requirements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_95_02.md) - [COMAR 10.09.95.03 COMAR 10.09.95.03. Conditions for Participation](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_95_03.md) - [COMAR 10.09.95.04 COMAR 10.09.95.04. Covered Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_95_04.md) - [COMAR 10.09.95.05 COMAR 10.09.95.05. Limitations](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_95_05.md) - [COMAR 10.09.95.06 COMAR 10.09.95.06. Utilization Review Requirements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_95_06.md) - [COMAR 10.09.95.07 COMAR 10.09.95.07. Payment Procedures](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_95_07.md) - [COMAR 10.09.95.08 COMAR 10.09.95.08. Recovery and Reimbursement](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_95_08.md) - [COMAR 10.09.95.09 COMAR 10.09.95.09. Cause for Suspension or Removal and Imposition of Sanctions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_95_09.md) - [COMAR 10.09.95.10 COMAR 10.09.95.10. Appeal Procedures](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_95_10.md) - [COMAR 10.09.95.11 COMAR 10.09.95.11. Submitting Cost Reports](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_95_11.md) - [COMAR 10.09.95.12 COMAR 10.09.95.12. Cost Settlement](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_95_12.md) - [COMAR 10.09.95.13 COMAR 10.09.95.13. Interpretive Regulation](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_95_13.md) --- Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_95_03. Check the current official text before relying on it. Not legal advice.