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<regulation prefix="Regulation" num=".17" citation="COMAR 32.02.01.17" title_num="32" subtitle_num="02" chapter_num="01" heading="Application for Expansion of Facility.">
  <paragraph num="A.">
    <text>Statement of Intent.</text>
    <paragraph num="(1)">
      <text>A provider that intends to undertake an expansion of its facility shall file a statement of intent with the Department at least 30 days before submission of an expansion approval request.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>If the expansion approval request is not filed by the provider within 60 days after the statement of intent is filed, a new statement of intent shall be filed with the Department at least 30 days before submission of the financial plan described in §B(3) of this regulation.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A statement of intent shall describe at a minimum:</text>
      <paragraph num="(a)">
        <text>The proposed expansion;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The types of agreements proposed, such as extensive, modified, or fee-for-service, and whether entrance fees will be refundable or nonrefundable;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The number of proposed additional units, if any, by unit type; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Any further information the Department requires.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Expansion Approval Request.</text>
    <paragraph num="(1)">
      <text>An expansion approval request shall be prepared in a form satisfactory to the Department.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A provider's expansion approval request shall include the following information:</text>
      <paragraph num="(a)">
        <text>A statement of the purpose and need for the expansion;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A demonstration that a market exists for any proposed additional independent living or assisted living units, which meets the requirements of §C of this regulation; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A financial plan that:</text>
        <paragraph num="(i)">
          <text>Is prepared by an authority recognized by the Department,</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Demonstrates to the satisfaction of the Department that the expansion will not have an unreasonably adverse effect on the financial ability of the provider to furnish continuing care in accordance with the provider's agreements and the Act at each facility of the provider in the State, and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Meets the requirements of §D of this regulation.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Demonstration of a Market.</text>
    <paragraph num="(1)">
      <text>For expansions of ten or fewer units, a provider's expansion approval request shall include the following to demonstrate that a market exists for the proposed additional units:</text>
      <paragraph num="(a)">
        <text>The existing wait lists and existing occupancy lists for the facility's independent living and assisted living units, by unit type; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Other documentation of market demand for the proposed additional units that is acceptable to the Department.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>For expansions of more than ten units, a provider's expansion approval request shall include the following to demonstrate that a market exists for the proposed additional units:</text>
      <paragraph num="(a)">
        <text>A description of the primary and secondary market areas as defined by the provider;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A table of population information, including the age, sex, number, income distribution, and trends of the total population and of the population of individuals 60 years old and older within the primary and secondary market areas;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A calculation of the market penetration rate for the proposed additional units for both the primary and secondary markets;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>A table of home values in the primary and secondary market areas; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>A statement of the minimum age, income, and net worth eligibility standards for a subscriber to the proposed additional living units.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Financial Plan. A financial plan required in §B(2)(c) of this regulation shall include:</text>
    <paragraph num="(1)">
      <text>The anticipated costs of the proposed expansion, including all related costs such as:</text>
      <paragraph num="(a)">
        <text>Financing costs,</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Marketing costs,</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Construction costs,</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Architect and engineering fees,</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Legal and administrative costs, and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Any other costs;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The anticipated sources and uses of funds to finance the proposed expansion and costs of financing;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A description of any proposed financing, including anticipated terms;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Projected 5-year balance sheets, income statements, cash flow statements, including key assumptions for each, prepared in accordance with generally accepted accounting principles;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>A schedule of anticipated periodic fees and entrance fees for any additional independent living and assisted living units;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>A schedule of monthly move-ins, by unit type, for any additional units; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Any further information the Department requires.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Filing Fee.</text>
    <paragraph num="(1)">
      <text>A filing fee of $50 per additional unit shall accompany the expansion approval request.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The Department may charge an additional fee, not to exceed the original fee, for resubmission of a financial plan to the Department due to:</text>
      <paragraph num="(a)">
        <text>Significant changes in assumptions in the financial plan;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Correction of significant errors in the plan; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>An incomplete financial plan submission.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>