A person may not operate or represent itself as operating a hospice care program in this State, without first obtaining a license from the Secretary. Section A of this regulation applies to a home health agency, hospital, related institution, or other licensed facility that operates a hospice care program that is distinct from the other services that it is authorized to provide. Types of Licenses. The Secretary shall require a hospice care program to be licensed as a: General hospice care program if the hospice care program provides, directly or by contract, home-based or inpatient care involving medical, nursing, or other skilled health services; or Limited hospice care program if the program provides, directly or by contract, nonskilled hospice services in a home-based setting. A limited hospice care program shall refer patients in need of skilled services to a general hospice care program, or arrange for this care to be provided by an authorized health care provider. Duration of License. A license expires on the third anniversary of its effective date unless it is: Renewed as provided in Regulation .04 of this chapter; or Revoked as provided in Regulation .27 of this chapter. A license to operate a hospice care program is not transferable.