<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 32.03.03.03" title_num="32" subtitle_num="03" chapter_num="03" heading="Enrollment of Assisted Living Facility Licensee.">
  <paragraph num="A.">
    <text>If an assisted living facility wants to participate in the Program and receive subsidies on behalf of eligible residents, the licensee shall:</text>
    <paragraph num="(1)">
      <text>Obtain an enrollment form from the local office;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Complete the enrollment form; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Submit the enrollment form to the local office, along with:</text>
      <paragraph num="(a)">
        <text>A copy of its license or its application for a license, and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A sample copy of its resident agreement.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>In addition to other routine information, the enrollment form shall require the licensee to demonstrate that it has:</text>
    <paragraph num="(1)">
      <text>The bookkeeping services needed to assure the proper handling of any subsidy funds;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A manager who is literate, able to communicate in English, and is:</text>
      <paragraph num="(a)">
        <text>A licensed physician;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A licensed registered nurse;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A licensed practical nurse; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>An individual with at least 3 years' experience in direct patient care in a private home, certified home, or health-related establishment; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Had no deficiencies in the previous 12 months that presented an imminent danger to the residents' health and safety.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>If the local office determines that the information submitted on the enrollment form is accurate and satisfactory, and the resident agreement is consistent with COMAR 10.07.14.24 and .25, it shall:</text>
    <paragraph num="(1)">
      <text>Prepare a service agreement that contains the agreed upon monthly fee; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Send the service agreement to the licensee to execute.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Unless some reason for denying enrollment in the subsidy program came to the local office's attention after sending the service agreement to the licensee, the local office shall execute the service agreement upon its return.</text>
  </paragraph>
  <paragraph num="E.">
    <text>When the service agreement is executed by the local office, the licensee is an enrolled provider.</text>
  </paragraph>
</regulation>