<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.05.01.04" title_num="10" subtitle_num="05" chapter_num="01" heading="Licensing Procedure.">
  <paragraph num="A.">
    <text>A person desiring to operate a facility shall:</text>
    <paragraph num="(1)">
      <text>Be in compliance with all applicable federal, State, and local laws and regulations;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>File an application on a written or electronic form provided by the Department;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Submit documentation that the Maryland Health Resources Planning Commission has determined that the facility either received a certificate of need or is exempt from certificate of need requirements; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Submit a written description of its quality assurance program as required by Regulation .08 of this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>An officer of a corporation or association shall apply for a license on behalf of the entity. The owner shall apply on behalf of a sole proprietorship. An applicant shall submit the names of the entity's board members, owners, and investors having at least 2 percent ownership.</text>
  </paragraph>
  <paragraph num="C.">
    <text>An authorized individual of a government unit or agency shall apply for a license on behalf of the government unit or agency.</text>
  </paragraph>
  <paragraph num="D.">
    <text>For an existing Medicare-certified facility, the Department shall issue a license within 90 days of receiving:</text>
    <paragraph num="(1)">
      <text>A license application;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The license fee; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Evidence of compliance with applicable regulations.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Based on information provided to the Department by the applicant and the Department's own investigation, the Secretary shall:</text>
    <paragraph num="(1)">
      <text>Approve the application unconditionally if the applicant complies with all requirements of this chapter;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Approve the application conditionally; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Deny the application if the applicant:</text>
      <paragraph num="(a)">
        <text>Has been convicted of:</text>
        <paragraph num="(i)">
          <text>A felony that relates to Medicaid or Medicare, or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A crime involving moral turpitude; or</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Does not comply with the requirements of this chapter.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Denial of License for Prior Revocation or Consent to Surrender License. The Secretary may deny a license to:</text>
    <paragraph num="(1)">
      <text>A corporate applicant if the corporate entity has an owner, director, or officer:</text>
      <paragraph num="(a)">
        <text>Whose conduct caused the revocation of a prior license, or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Who held the same or similar position in another corporate entity which had its license revoked;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>An individual applicant:</text>
      <paragraph num="(a)">
        <text>Whose conduct caused the revocation of a prior license, or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Who held a position as owner, director, or officer in a corporate entity which had its license revoked; or</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>An individual or corporate applicant that has consented to surrender a license as a result of a license revocation action.</text>
    </paragraph>
  </paragraph>
  <paragraph num="G.">
    <text>The Secretary shall also consider the factors identified in Regulation .15D of this chapter when deciding whether to deny a license.</text>
  </paragraph>
  <paragraph num="H.">
    <text>A person aggrieved by a decision of the Secretary under this regulation may appeal the Secretary's action by filing a request for a hearing in accordance with Regulation .16 of this chapter.</text>
  </paragraph>
  <paragraph num="I.">
    <text>Renewal of License.</text>
    <paragraph num="(1)">
      <text>At least 60 days before a license expires, the licensee shall submit a renewal application to the Secretary on a written or electronic form provided by the Department.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The Secretary shall renew the license for an additional 3-year period for a licensee that meets the requirements of this chapter.</text>
    </paragraph>
  </paragraph>
</regulation>