<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.21.16.04" title_num="10" subtitle_num="21" chapter_num="16" heading="Application Process.">
  <paragraph num="A.">
    <text>Consultation. Before submitting an application, an applicant for approval of a program may request assistance from the Department's designated approval unit or the appropriate core service agency (CSA) director regarding the proper compilation of application materials and completion of the application.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Lead CSA Determination. For programs providing services in multiple jurisdictions, the Administration, in collaboration with the appropriate CSAs, shall determine the lead CSA.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Application. An applicant for approval of a program shall:</text>
    <paragraph num="(1)">
      <text>Submit an application to the Department’s designated approval unit;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Submit the application on the written or electronic form approved by the Department, with all questions answered and all required documents attached;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Include in the application, at a minimum, the following information:</text>
      <paragraph num="(a)">
        <text>Documentation of the applicant's program service plan, as outlined in Regulation .05 of this chapter;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A written business plan that clearly demonstrates the program's ability to provide services in accordance with applicable Maryland regulations and Medicaid and Medicare funding requirements;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Information to demonstrate the program's financial viability, including, but not limited to:</text>
        <paragraph num="(i)">
          <text>Salary structure;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Client mix;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Anticipated administrative expenses;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Necessary cash reserves to maintain the program during the start-up phase and a financial crisis;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Identification of the individual responsible for providing the required financial information; and</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Other information deemed necessary by the Department;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>A summary of the program's demonstrated experience in the field of mental health;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Prior licensing reports issued within the previous 10 years from any in-State or out-of-State entities associated with the program, including deficiency reports and compliance records from which the Department may make reasoned decisions about the qualifications of the program;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Disclosure of:</text>
        <paragraph num="(i)">
          <text>Any license or approval revocation within the previous 10 years by the Department or other licensing agency;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Whether the program, or corporation or entity associated with the program, has surrendered or defaulted on its license or approval for reasons related to disciplinary action, within the previous 10 years; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Any corporate officer who has served as a corporate officer for a corporation or entity that has had a license revoked, or has surrendered or defaulted on its license or approval for reasons related to disciplinary action within the previous 10 years;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(g)">
        <text>A written quality assurance plan that addresses how the organization will ensure the health and safety of the individuals served by the program and the quality of services provided to individuals by the program; and</text>
      </paragraph>
      <paragraph num="(h)">
        <text>For 26 U.S.C. §501(c)(3) organizations, a statement of how the organization intends to satisfy its charitable mission; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Forward a copy of the:</text>
      <paragraph num="(a)">
        <text>Completed application to the:</text>
        <paragraph num="(i)">
          <text>CSA of the jurisdiction where the program services are to be delivered; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>For programs providing services in multiple jurisdictions, lead CSA identified under §B of this regulation; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Application cover letter to the Administration and all CSAs of the jurisdictions where the program plans to deliver services.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Action by the CSA or Lead CSA.  The CSA, or lead CSA identified under §B of this regulation, shall submit to the Department's designated approval unit:</text>
    <paragraph num="(1)">
      <text>Verification that:</text>
      <paragraph num="(a)">
        <text>The program agrees to collaborate with all CSAs where the program proposes to provide services, according to the provisions of COMAR 10.21.17.06; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The financial information submitted under §C of this regulation appears to demonstrate potential financial viability of the program; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Comments, if any, on the content of the application.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Application Modification.</text>
    <paragraph num="(1)">
      <text>A program that proposes to change its program sites by adding, closing, or moving locations shall submit an application modification, on the form required by the Department, to the Department's designated approval unit.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>If the Department's designated approval unit approves the application modification, the existing program approval shall extend to the additional site, as applicable.</text>
    </paragraph>
  </paragraph>
</regulation>