<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.22.18.03" title_num="10" subtitle_num="22" chapter_num="18" heading="General Requirements.">
  <paragraph num="A.">
    <text>To provide CSLA services and seek reimbursement from the Administration, a licensee shall:</text>
    <paragraph num="(1)">
      <text>Be licensed in accordance with Health-General Article, Title 7, Annotated Code of Maryland, and COMAR 10.22.02;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Comply with:</text>
      <paragraph num="(a)">
        <text>COMAR 10.22.08; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>COMAR 10.09.26;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Execute an agreement with the Administration;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Comply with the Administration's reporting and record-keeping requirements, including:</text>
      <paragraph num="(a)">
        <text>Submitting an annual cost report on a form approved by the Administration not later than 6 months after the end of the State fiscal year that:</text>
        <paragraph num="(i)">
          <text>Documents the licensee's actual expenditures for the fiscal year being reported;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Is based on the licensee's audited financial statement;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Includes a work sheet reconciling the cost report to the financial statement; and</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Is certified by an independent certified public accountant, who is not an employee of the licensee or any affiliated organization, for the actual days each individual received services; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Retaining documentation of the costs for supplemental services for at least 6 years after the expenses are incurred; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Submitting an annual wage and benefits survey in a format approved by the Administration by the later of 60 days after:</text>
        <paragraph num="(i)">
          <text>The last day of the pay period for which the data is requested; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Receipt of a request from the Administration for wage survey information.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Submit to the Administration for its approval the number of hours of service an individual needs per week, as documented by the individual's IP, on a form specified by the Administration.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>For reports and data required under this chapter, the Administration may, with notice, suspend payment of 25 percent of the provider's per diem rate until the report or data is received.</text>
  </paragraph>
  <paragraph num="C.">
    <text>For the annual cost report and the annual wage and benefits survey, the Administration may, after notice and an opportunity to be heard, fiscally sanction providers as set forth in Health-General Article, §7-910(c), Annotated Code of Maryland.</text>
  </paragraph>
</regulation>