<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.07.21.04" title_num="10" subtitle_num="07" chapter_num="21" heading="Application Procedure.">
  <paragraph num="A.">
    <text>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.</text>
  </paragraph>
  <paragraph num="B.">
    <text>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.</text>
  </paragraph>
  <paragraph num="C.">
    <text>The applicant shall provide the following information with the application as applicable:</text>
    <paragraph num="(1)">
      <text>If the applicant is an individual and is sole owner of the hospice care program, the name and address of the applicant;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>If the applicant is a partnership or limited partnership:</text>
      <paragraph num="(a)">
        <text>The legal name of the partnership or limited partnership;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Any trade name used by the partnership or limited partnership; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The name and address of each partner;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>If the applicant is a corporation:</text>
      <paragraph num="(a)">
        <text>The name of the corporation;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The date of incorporation;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The state of incorporation;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The name and address of each director;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>If the corporation is incorporated outside of the State, the name and address of the resident agent of the corporation;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>The name and address of each officer; and</text>
      </paragraph>
      <paragraph num="(g)">
        <text>The name and address of any stockholder owning more than 5 percent of the stock of a corporate applicant;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>A statement that the applicant meets the requirements of Health-General Article, Title 19, Annotated Code of Maryland, and this chapter;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>The name of the individual who is to be the medical director of the hospice care program;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>The location and postal address of:</text>
      <paragraph num="(a)">
        <text>The principal office of the proposed hospice care program;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Any other office of the proposed hospice care program;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Any facility providing inpatient hospice services to be operated by the hospice care program; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Any location where home-based hospice services are being provided in a residence owned or operated by the hospice; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(8)">
      <text>A copy of the certificate of need determination from the Maryland Health Resources Planning Commission as required under §A of this regulation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>The Secretary:</text>
    <paragraph num="(1)">
      <text>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</text>
    </paragraph>
    <paragraph num="(2)">
      <text>May deny or revoke a license of the applicant or licensee who does not otherwise meet the requirements of this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>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.</text>
  </paragraph>
</regulation>