<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".12" citation="COMAR 32.03.04.12" title_num="32" subtitle_num="03" chapter_num="04" heading="Termination of Provider-Participant Service Agreement.">
  <paragraph num="A.">
    <text>A provider-participant service agreement shall allow termination by a provider only for the following reasons:</text>
    <paragraph num="(1)">
      <text>A change in the health status or behavior of the participant that constitutes a substantial threat to the health or safety of a participant, other residents, or the provider's staff;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Chronic disruptive behavior that is offensive and threatens participants' peaceful enjoyment of their apartments;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Nonpayment of fees by the participant;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Termination of the Program at the facility through no fault of the provider; or</text>
    </paragraph>
    <paragraph num="(5)">
      <text>The participant's health has improved sufficiently so that the participant no longer needs congregate housing services.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A provider shall give at least 30 days' written notice of termination to a participant. The notice shall include:</text>
    <paragraph num="(1)">
      <text>A statement of intent to terminate;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The reason for termination;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The proposed termination date, which may not be less than 30 days from the date of the notification;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Assurance that services will be provided up to the proposed termination date; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>A list of resources in the community that may be able to assist the participant to relocate.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>The existence of an emergency does not necessarily mean that any of the standards in §A of this regulation have been met.</text>
  </paragraph>
  <paragraph num="D.">
    <text>If an emergency involving a participant arises, including one that may require a participant to be transferred to a hospital, the participant's provider shall:</text>
    <paragraph num="(1)">
      <text>Take immediate steps to obtain necessary care for the participant by calling 9-1-1;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Notify the participant's contact person within 1 hour of learning of the emergency;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Notify the participant and the participant's contact person of the conditions or behavior that created the emergency and, if applicable, the reasons why a transfer was necessary; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Record the appropriate information in an incident report.</text>
    </paragraph>
  </paragraph>
</regulation>