Md. Code Regs. 10.09.09.03

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.09.09.03 - Conditions for Participation

A. General requirements for participation in the Program are that a provider shall meet all conditions for participation as set forth in COMAR 10.09.36.03, except that a signature on the services order specified in COMAR 10.09.36.03A(19) is not required.

B. Specific requirements for participation in the Program as a medical laboratory include all of the following:

(1) Be in compliance with all applicable license, certification, environmental, legal, and professional requirements to perform the clinical laboratory services offered;

(2) Maintain records adequate to substantiate the ordering, performance, and reporting of clinical laboratory services performed or referred;

(3) Agree to seek reimbursement from the Program only for services set forth in Regulation .04 of this chapter when provided to eligible participants;

(4) Agree to refrain from billing participants for noncovered services set forth in Regulation .05 of this chapter; and

(5) Agree to abide by all provisions set forth in Regulation .07 of this chapter when seeking reimbursement from the Program.

Md. Code Regs. 10.09.09.03

Regulation .03 amended effective February 6, 1989 (16:2 Md. R. 159)
Regulation .03A repealed effective September 21, 1979 (6:19 Md. R. 1518)
Regulation .03E amended effective December 15, 1978 (5:25 Md. R. 1854); August 22, 1988 (15:17 Md. R. 2049)
Regulation .03E amended as an emergency provision effective March 15, 1990 (17:7 Md. R. 843); emergency status expired June 30, 1990; amended permanently effective July 9, 1990 (17:13 Md. R. 1611)
Regulation .03I adopted effective January 6, 1983 (9:26 Md. R. 2572)
Regulation .03J adopted effective January 30, 1984 (11:2 Md. R. 113)
Regulation .03 amended as an emergency provision effective September 16, 1992 (19:20 Md. R. 1812); amended permanently effective January 1, 1993 (19:25 Md. R. 2205)
Regulation .03A amended effective April 29, 2002 (29:8 Md. R. 700); amended effective 45:14 Md. R. 696, eff. 7/16/2018; amended effective 50:14 Md. R. 593, eff. 7/24/2023