Sec. 10.09.88.03. Conditions for Participation  


Latest version.
  • A. A provider shall meet all conditions for participation as set forth in COMAR 10.09.36.03.

    B. The provider shall also:

    (1) Be certified by CMS to furnish portable X-ray services;

    (2) Meet the licensure requirements as provided in Regulation .02 of this chapter;

    (3) Meet performance standards in accordance with 42 CFR §410.33(g);

    (4) Ensure that portable X-ray services are rendered under the supervision of a qualified physician in accordance with 42 CFR §486.102;

    (5) Ensure that portable X-ray services are rendered by a qualified technician in accordance with 42 CFR §486.104;

    (6) Ensure that portable X-ray services performed for Medical Assistance recipients are ordered by a doctor of medicine or a doctor of osteopathy and records are properly preserved in accordance with 42 CFR §486.106;

    (7) Ensure that inspections of all X-ray equipment and shielding are made by qualified individuals at intervals not greater than 24 months in accordance with 42 CFR §486.110; and

    (8) Identify the ordering practitioner who authorized the diagnostic services by either:

    (a) Recording the National Provider Identifier (NPI) number for the individual practitioner on the claim; or

    (b) Recording the name and NPI of the authorized ordering practitioner on the invoice and attaching to the invoice a copy of the properly completed order that identifies the authorized ordering practitioner.