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Md. Code Regs. (COMAR) 10.09.36.03-2 - Conditions for Participation: Data Management Systems and Electronic Visit Verification

MarylandregulationMaryland Department of Health

What this rule requires your agency to do

  • 1The provider must train workers on proper protocols for system use, EVV procedures, equipment handling, and HIPAA compliance. (COMAR 10.09.36.03-2)(Md. Code Regs. (COMAR) 10.09.36.03-2 - Conditions for Participation: Data Management Systems and Electronic Visit Verification)
  • 2The provider must ensure services claimed are electronically recorded, preauthorized, and delivered in-person to eligible participants; reimbursement is denied for services rendered during participant ineligibility or during overlapping worker time periods. (COMAR 10.09.36.03-2)(Md. Code Regs. (COMAR) 10.09.36.03-2 - Conditions for Participation: Data Management Systems and Electronic Visit Verification)
  • 3The provider must comply with State and federal laws and regulations concerning the privacy and security of protected health information, including HIPAA, and ensure any provider-owned system meets Department IT privacy and security requirements. (COMAR 10.09.36.03-2)(Md. Code Regs. (COMAR) 10.09.36.03-2 - Conditions for Participation: Data Management Systems and Electronic Visit Verification)
  • 4The provider must use a Department-approved Electronic Visit Verification method to electronically record service details, including service type, provider and participant information, date of service, service delivery location, and beginning and ending times of each visit. (COMAR 10.09.36.03-2)(Md. Code Regs. (COMAR) 10.09.36.03-2 - Conditions for Participation: Data Management Systems and Electronic Visit Verification)
  • 5The provider must register all data management system and EVV users with valid information before they use the system. (COMAR 10.09.36.03-2)(Md. Code Regs. (COMAR) 10.09.36.03-2 - Conditions for Participation: Data Management Systems and Electronic Visit Verification)

Applies to: Home and community-based personal care / attendant services providers reimbursed by Maryland Medicaid

Maryland's Medicaid regulation requiring providers of personal care / HCBS attendant services to use a Department-approved Electronic Visit Verification system to electronically record service details, register and train system users, protect participant PHI, and submit compliant EVV-based claims. Reimbursement is denied for services not properly EVV-recorded.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.