; (ii) be enrolled— (I) under section 1886(j) of the Social Security Act ( 42 U.S.C. 1395cc(j) ); or (II) as a participating provider under a State plan (or waiver of such plan) under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq. ); (iii) be affiliated with a hospital, university, non-profit organization, city government, county government, state government, or private health care practice; (iv) use a qualified electronic health record to document interactions with, and medical services furnished to, covered individuals under the Program; (v) maintain medical malpractice insurance in the State in which such provider is furnishing medical services under the Program; and (vi) in the case of a provider prescribing opioid medication, meet the requirement described in subparagraph (B). (B) Requirement for prescribing opioid medication In the case of a provider prescribing an opioid medication to a covered individual under the Program, such provider shall meet the standards of their respective State. (C) During each visit with a patient, there shall be a prescriber, as defined in (e)(3), present either in person, via telemedicine, or phone call. (3) Documentation requirements (A) In general A provider furnishing medical services under the Program shall document in a qualified electronic health record each interaction with a covered individual, such documentation shall include— (i) the name and date of birth of such individual; (ii) whether the covered individual has, or has history of, a substance use disorder; (iii) the length of time such individual has been homeless, and factors contributing to such individual’s lack of permanent housing; (iv) whether an individual is under the care of a medical provider other than a street medicine team or provider; (v) the contact information, and billing information for such provider; (vi) the credentials of such provider