An organization aggrieved by the imposition of a civil money penalty may appeal the action by filing a request for a hearing in accordance with COMAR 10.63.06. If the hearing affirms the imposition of the penalty, the Secretary shall issue a final order which shall state the basis on which the order is made, the amount of the civil money penalty imposed, and the manner in which the amount of the civil money penalty was calculated. After exhaustion of all appeals, an organization shall pay a civil money penalty to the Department within 10 days after the organization receives a final order that affirms the imposition of the civil money penalty. The Department, at its discretion, may agree to accept a repayment schedule, which may include a discount for timely payments. If an organization does not pay the civil money penalty to the Department after receiving the final order or according to a negotiated repayment schedule: The balance due shall be referred to the Central Collection Unit; and The organization and its programs may be subject to licensing action.