<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".27" citation="COMAR 10.07.14.27" title_num="10" subtitle_num="07" chapter_num="14" heading="Resident Agreement — Financial Content.">
  <paragraph num="A.">
    <text>The resident agreement shall include financial provisions, which include at a minimum:</text>
    <paragraph num="(1)">
      <text>Obligations of the assisted living program and the resident, or the resident agent, as to:</text>
      <paragraph num="(a)">
        <text>Handling the finances of the resident;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The purchase or rental of essential or desired equipment and supplies;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Arranging and contracting for services not covered by the resident agreement;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Ascertaining the cost of and purchasing durable medical equipment; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Disposition of resident property upon discharge or death of the resident; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Rate structure and payment provisions covering:</text>
      <paragraph num="(a)">
        <text>All rates to be charged to the resident, including, but not limited to:</text>
        <paragraph num="(i)">
          <text>Service packages;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Fee for service rates; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Any other non-service-related charges;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Notification of the rate structure applicable for other levels of care provided by the assisted living program and the criteria to be used for imposing additional charges for the provision of additional services, if the resident’s service and care needs change;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Payment arrangements and fees, if known, for third-party services not covered by the resident agreement, but arranged for by either the resident, the resident agent, or the assisted living program;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Identification of the persons responsible for payment of all fees and charges and a clear indication of whether the person’s responsibility is or is not limited to the extent of the resident’s funds;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>A provision which provides at least 45 calendar days notice of any rate increase, except if necessitated by a change in the resident’s medical condition;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Fair and reasonable billing, payment, and credit policies;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>The procedures the assisted living program will follow in the event the resident or resident agent can no longer pay for services provided for in the resident agreement or for services or care needed by the resident, including 30 calendar days notice of the resident’s discharge to the:</text>
        <paragraph num="(i)">
          <text>Ombudsman within the Department of Aging or local area agency on aging; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Local Department of Human Services or Adult Protective Services; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(h)">
        <text>Terms governing the refund of any prepaid fees or charges, in the event of a resident’s discharge from the assisted living program or termination of the resident agreement.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>When the resident’s needs significantly change and the level of service provided needs to be increased or decreased, the resident agreement shall be amended by the parties to reflect the changes in services being provided and any applicable increase or decrease in charges.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Charges that incur after the death of the resident may not include services provided to the resident after their death, but may include administrative charges.</text>
  </paragraph>
</regulation>