Regulation .04 Application Procedure.
Regulation .04 Application Procedure.LinkCopy Citation
A.
Before a person may apply for a license to operate a general hospice care program, the person shall obtain a certificate of need from the Maryland Health Resources Planning Commission under Health-General Article, Title 19, Annotated Code of Maryland.
B.
The applicant shall submit an application for an initial license or renewal of a license on a written or electronic form provided by the Secretary.
C.
The applicant shall provide the following information with the application as applicable:
(1)
If the applicant is an individual and is sole owner of the hospice care program, the name and address of the applicant;
(2)
If the applicant proposes to operate a facility providing inpatient hospice care services and someone other than the applicant owns the building or real property, or both, the name and address of the owner or owners;
(3)
If the applicant is a partnership or limited partnership:
(a)
The legal name of the partnership or limited partnership;
(b)
Any trade name used by the partnership or limited partnership; and
(c)
The name and address of each partner;
(4)
If the applicant is a corporation:
(a)
The name of the corporation;
(b)
The date of incorporation;
(c)
The state of incorporation;
(d)
The name and address of each director;
(e)
If the corporation is incorporated outside of the State, the name and address of the resident agent of the corporation;
(f)
The name and address of each officer; and
(g)
The name and address of any stockholder owning more than 5 percent of the stock of a corporate applicant;
(5)
A statement that the applicant meets the requirements of Health-General Article, Title 19, Annotated Code of Maryland, and this chapter;
(6)
The name of the individual who is to be the medical director of the hospice care program;
(7)
The location and postal address of:
(a)
The principal office of the proposed hospice care program;
(b)
Any other office of the proposed hospice care program;
(c)
Any facility providing inpatient hospice services to be operated by the hospice care program; and
(d)
Any location where home-based hospice services are being provided in a residence owned or operated by the hospice; and
(8)
A copy of the certificate of need determination from the Maryland Health Resources Planning Commission as required under §A of this regulation.
D.
The Secretary:
(1)
Shall deny or revoke a license if the applicant or licensee has been convicted of a felony involving Medicaid fraud or other activity involving a nursing home, or its residents; or
(2)
May deny or revoke a license of the applicant or licensee who does not otherwise meet the requirements of this chapter.
E.
A person aggrieved by the action of the Secretary under this regulation may appeal the Secretary's action by filing a request for a hearing in accordance with Regulation .28 of this chapter.