<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".18" citation="COMAR 10.63.06.18" title_num="10" subtitle_num="63" chapter_num="06" heading="Civil Money Penalties.">
  <paragraph num="A.">
    <text>Notwithstanding any penalty that may be imposed under the Civil False Claims Act, pursuant to Health-General Article, §2-611, Annotated Code of Maryland or other statute, the Department may impose a civil monetary penalty on a person for:</text>
    <paragraph num="(1)">
      <text>Operating a community-based behavioral health services program without a license, if one is required by law or regulation;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Any material and egregious violation of any provision of this subtitle; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Both.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>In determining whether a civil monetary penalty is to be imposed, the Department shall consider the following, among any other relevant factors:</text>
    <paragraph num="(1)">
      <text>The nature, number, and seriousness of the deficiencies;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The extent to which the deficiency or deficiencies are part of an ongoing pattern;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The degree of risk to the health, life, or safety of the individuals receiving services from the program;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The efforts made by the program, and the ability of the program, to correct the deficiency or deficiencies; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>The program’s prior history of compliance or non-compliance.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>In determining the amount of any civil money penalty to be imposed, the Department shall consider the factors listed in §B of this regulation, among any other relevant factors.</text>
  </paragraph>
</regulation>