A designated trauma or specialty referral center: Has the right to relinquish its designation as a trauma or specialty referral center or to request a designation lower than its current level of designation; and Shall provide the Office of Hospital Programs with 90 calendar days advance written notice of its request to change its designation status. If the designated trauma center applies for a lower level of designation, MIEMSS: At its discretion, may repeat all or part of the designation process set forth in this chapter; and Shall consider the request based upon the criteria described in Regulation .02 of this chapter. Temporary Inability to Comply with Standards. A designated trauma or specialty referral center shall notify the Office of Hospital Programs within 5 business days if it is temporarily unable to comply with the requirements for designated trauma or specialty centers as set forth in COMAR 30.08.03. The notice shall be in writing and shall specify the reasons for and the anticipated duration of the temporary inability to comply with the standards. MIEMSS shall determine whether the temporary inability to comply with the standards warrants disciplinary action under COMAR 30.08.13.