Sec. 10.09.09.03. Conditions for Participation  


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  • 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 recipients;

    (4) Agree to refrain from billing recipients 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.