<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".25" citation="COMAR 32.02.01.25" title_num="32" subtitle_num="02" chapter_num="01" heading="Referrals to the Financial Review Committee.">
  <paragraph num="A.">
    <text>The Department may refer to the Committee for its consideration:</text>
    <paragraph num="(1)">
      <text>A provider's application for a renewal certificate after review by the Department; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A finding of possible financial difficulty, at any time.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Upon receipt of a referral from the Department, the Committee shall:</text>
    <paragraph num="(1)">
      <text>Request from the Department any additional material which the Committee may require;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Review the material to determine:</text>
      <paragraph num="(a)">
        <text>Whether or not it recommends finding the provider in financial difficulty; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Whether or not it recommends identifying the financial difficulty as including a significant risk of financial failure in accordance with Human Services Article, §10-469, Annotated Code of Maryland;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Notify the Department in writing of its recommendations and the reason or reasons for its recommendations, within 45 days of receipt of the referral; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Provide consultation to the Department regarding corrective financial plans for providers in financial difficulty when requested by the Department.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>The Committee may request one 30-day extension under §B(3) of this regulation. The Secretary may grant or deny the extension.</text>
  </paragraph>
  <paragraph num="D.">
    <text>Upon notification of the recommendations of the Committee, the Department shall consider the recommendations of the Committee and, within 25 days of receipt of the Committee's recommendations, make a final determination of whether financial difficulty exists, including whether the Department finds a significant risk of financial failure in accordance with Human Services Article, §10-469, Annotated Code of Maryland.</text>
  </paragraph>
</regulation>