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<subtitle num="04" heading="Charlotte Hall Veterans' Home" title_num="35" title_heading="Maryland Department of Veterans and Military Families">
  <chapter num="01" heading="Admission to Charlotte Hall Veterans' Home">
    <regulation prefix="Regulation" num=".01" heading="Scope.">
      <text>This chapter establishes eligibility requirements and admission procedures for Charlotte Hall Veterans' Home.</text>
    </regulation>
    <regulation prefix="Regulation" num=".02" heading="Eligibility Requirements.">
      <paragraph num="A.">
        <text>The following individuals are eligible for admission:</text>
        <paragraph num="(1)">
          <text>A Maryland veteran, 62 years old or older, who:</text>
          <paragraph num="(a)">
            <text>Served on full time active duty in the U.S. Armed Forces, other than active duty for training, and was discharged or released under honorable conditions; and</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Has documented residence in the State as follows:</text>
            <paragraph num="(i)">
              <text>90 days residence in the State immediately preceding admission to the nursing home;</text>
            </paragraph>
            <paragraph num="(ii)">
              <text>2 years residence in the State immediately preceding admission to the assisted living unit, to be eligible to receive a State subsidy;</text>
            </paragraph>
            <paragraph num="(iii)">
              <text>90 days residence in the State immediately preceding admission to the assisted living unit, if there is no cost to the State until the 2-year residence requirement has been met; or</text>
            </paragraph>
            <paragraph num="(iv)">
              <text>The veteran's DD Form 214 or other discharge document contains a Maryland address as the “Permanent Address” or “Home of Record”;</text>
            </paragraph>
          </paragraph>
        </paragraph>
        <paragraph num="(2)">
          <text>Certain members of a reserve component of the U.S. Armed Forces who meet the legal residence requirements; and</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Certain nonveteran spouses of veterans eligible to be admitted to Charlotte Hall, provided the nonveteran spouses are at no cost to the State, except for Medicaid.</text>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>A resident under §A(1)(b)(iii) of this regulation shall be able to pay in full for all care and services until the 2-year residency is met.</text>
      </paragraph>
      <paragraph num="C.">
        <text>Individuals not eligible for admission are:</text>
        <paragraph num="(1)">
          <text>An individual whose only separation from one of the U.S. Armed Forces was other than honorable;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>An individual ordered to report to an induction station who was not actually inducted into the military service;</text>
        </paragraph>
        <paragraph num="(3)">
          <text>An individual convicted of subversive activities after September 1, 1959, against the United States, except that eligibility shall be reinstated if a pardon is granted by the President of the United States;</text>
        </paragraph>
        <paragraph num="(4)">
          <text>An individual younger than 62 years old, unless the individual is:</text>
          <paragraph num="(a)">
            <text>Disabled and unable to work through no fault of the individual; and</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Receiving disability benefits from either Social Security or the U.S. Veterans' Benefits Administration, with a U.S. Veterans' Benefits Administration disability award being 70 percent or higher, of which at least one award must be 40 percent or greater;</text>
          </paragraph>
        </paragraph>
        <paragraph num="(5)">
          <text>A nonveteran spouse of a veteran not eligible for admission to Charlotte Hall;</text>
        </paragraph>
        <paragraph num="(6)">
          <text>A nonveteran spouse who cannot provide proof of legal marriage to a veteran who is eligible for admission;</text>
        </paragraph>
        <paragraph num="(7)">
          <text>A divorced or former nonveteran spouse of a veteran eligible for admission;</text>
        </paragraph>
        <paragraph num="(8)">
          <text>A nonveteran spouse that cannot pay for care, has no insurance, or is not eligible for Medicaid;</text>
        </paragraph>
        <paragraph num="(9)">
          <text>A nonveteran spouse that is not 62 years old or older;</text>
        </paragraph>
        <paragraph num="(10)">
          <text>An individual with medical or mental conditions beyond the Home's capability to care for the individual;</text>
        </paragraph>
        <paragraph num="(11)">
          <text>An individual with:</text>
          <paragraph num="(a)">
            <text>A history of acts of violence, theft, addictive substance use or abuse, sexual offenses; or</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Either pending criminal charges or pending civil, administrative, or institutional complaints for one or more of the acts in §C(11)(a) of this regulation;</text>
          </paragraph>
        </paragraph>
        <paragraph num="(12)">
          <text>An individual who has abused alcohol or other substances, that has not successfully completed a structured, residential rehabilitative program at least 21 days in length, either after the individual's last substance use or immediately before the individual's admission, if admitted; and</text>
        </paragraph>
        <paragraph num="(13)">
          <text>An individual who for any reason may pose an unacceptable level of danger to other residents if admitted.</text>
        </paragraph>
      </paragraph>
      <paragraph num="D.">
        <text>Establishing Admission Eligibility. An individual's status as a veteran, legal residence within Maryland, age, or disability, or status as the legal nonveteran spouse of an eligible veteran, must be established by specific and substantial evidence before an applicant may be admitted.</text>
      </paragraph>
      <paragraph num="E.">
        <text>Evidence of Qualifying Military Service. One or more of the following documents constitute acceptable evidence of qualifying military service:</text>
        <paragraph num="(1)">
          <text>Military discharge records, such as a DD Form 214 or WD AGO Form 53-55;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>A document issued by the National Personnel Records Center that carries the weight of an official discharge document;</text>
        </paragraph>
        <paragraph num="(3)">
          <text>A document, or State record, that establishes honorable, active duty service in the U.S. Armed Forces, other than for training;</text>
        </paragraph>
        <paragraph num="(4)">
          <text>A report of retirement points credited to members of a reserve component of the U.S. Armed Forces; or</text>
        </paragraph>
        <paragraph num="(5)">
          <text>Certification issued by the Services Program of the Department.</text>
        </paragraph>
      </paragraph>
      <paragraph num="F.">
        <text>Evidence of Maryland Residence.</text>
        <paragraph num="(1)">
          <text>The applicant shall establish that the applicant was a resident of Maryland for the stipulated minimum periods of time before admission, or the veteran's DD Form 214 or other discharge document shall contain a Maryland address as the “Permanent Address” or “Home of Record”.</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Residency may be confirmed in one of the following manners:</text>
          <paragraph num="(a)">
            <text>Military records, such as a DD Form 214, which establish a Maryland home of record at the time of entrance into military service; or</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Draft board records, or State records, establishing legal residence at time of entrance into military service.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(3)">
          <text>Proof of legal residence to qualify for admission may also be met by providing at least two of the following, in the applicant's name and showing the Maryland address:</text>
          <paragraph num="(a)">
            <text>A current valid Maryland driver's license with an appropriate date of issue;</text>
          </paragraph>
          <paragraph num="(b)">
            <text>Certified copies of Maryland income tax returns, filed by the veteran in the most recent year or years preceding admission;</text>
          </paragraph>
          <paragraph num="(c)">
            <text>A current voter's registration card;</text>
          </paragraph>
          <paragraph num="(d)">
            <text>The records of a nursing home, hospital, or institution where the veteran may have been a patient immediately preceding admission;</text>
          </paragraph>
          <paragraph num="(e)">
            <text>First class mail from federal or State government agencies, including the postmarked envelope;</text>
          </paragraph>
          <paragraph num="(f)">
            <text>Maryland vehicle registration card or title;</text>
          </paragraph>
          <paragraph num="(g)">
            <text>Utility, telephone, cable television, and Internet service bills;</text>
          </paragraph>
          <paragraph num="(h)">
            <text>Checking or savings account statement, from a bank or credit union, including canceled checks with imprinted name and address;</text>
          </paragraph>
          <paragraph num="(i)">
            <text>Life, car, health, or homeowner's insurance card, bill, or policy;</text>
          </paragraph>
          <paragraph num="(j)">
            <text>Residential rental contract;</text>
          </paragraph>
          <paragraph num="(k)">
            <text>Major credit card bills;</text>
          </paragraph>
          <paragraph num="(l)">
            <text>Installment loan contract from a bank or other financial institution;</text>
          </paragraph>
          <paragraph num="(m)">
            <text>Sales tax or business license;</text>
          </paragraph>
          <paragraph num="(n)">
            <text>U.S. savings bond;</text>
          </paragraph>
          <paragraph num="(o)">
            <text>Residential service contract, for example, television repair, lawn service, or exterminator contract;</text>
          </paragraph>
          <paragraph num="(p)">
            <text>W-2 form from the most recent tax year or years preceding admission;</text>
          </paragraph>
          <paragraph num="(q)">
            <text>Paychecks or pay stubs issued immediately preceding admission;</text>
          </paragraph>
          <paragraph num="(r)">
            <text>Retirement plan statements; or</text>
          </paragraph>
          <paragraph num="(s)">
            <text>Any other substantial evidence that may establish the required residency, at the discretion of the Home.</text>
          </paragraph>
        </paragraph>
        <paragraph num="(4)">
          <text>If the military record in §F(2)(a) of this regulation contains only a permanent mailing address, place of entry, or place of discharge, residence shall be proved in another manner.</text>
        </paragraph>
      </paragraph>
      <paragraph num="G.">
        <text>Burden of Proof in Establishing Eligibility. The burden of proof in establishing eligibility for admission to Charlotte Hall is upon the applicant, the applicant's responsible party, next-of-kin, or legal representative, or the individual making application on behalf of the applicant.</text>
      </paragraph>
      <paragraph num="H.">
        <text>Right to Appeal Eligibility Determinations. The applicant, or the applicant's responsible party, or legal representative, may appeal a decision concerning eligibility of an applicant for admission to Charlotte Hall. The appeal shall be in writing and submitted to the Director, Veterans' Home Program, Charlotte Hall Veterans' Home, within 10 working days of notification of ineligibility to be admitted. If the applicant desires to appeal the Director of the Veterans' Home Program's appeal decision, the next and final appeal must be submitted in writing to the Secretary within 10 working days of the Director of the Veterans' Home Program's decision. This appeal shall be heard by the Secretary or the Secretary's designee.</text>
      </paragraph>
      <paragraph num="I.">
        <text>In order to be considered for admission to Charlotte Hall Veterans' Home, a veteran shall:</text>
        <paragraph num="(1)">
          <text>Have had active duty service in the U.S. Armed Forces, the Commissioned Corps of the Public Health Service, or the Commissioned Corps of the National Oceanic and Atmospheric Administration at any time;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>Have been discharged under honorable conditions;</text>
        </paragraph>
        <paragraph num="(3)">
          <text>Be incapable of earning a living because of age, disease, or disability;</text>
        </paragraph>
        <paragraph num="(4)">
          <text>Be a resident of Maryland pursuant to §§A(1)(b) and F of this regulation; and</text>
        </paragraph>
        <paragraph num="(5)">
          <text>If applicable, provide a copy of DD Form 214, including Part IV.</text>
        </paragraph>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".03" heading="Application Procedures.">
      <text>An applicant shall:</text>
      <paragraph num="A.">
        <text>Furnish proof of service or proof of spouse's service;</text>
      </paragraph>
      <paragraph num="B.">
        <text>Complete an application form that provides information about the applicant's personal history and financial status;</text>
      </paragraph>
      <paragraph num="C.">
        <text>Enclose a copy of honorable discharge papers;</text>
      </paragraph>
      <paragraph num="D.">
        <text>Submit an income affidavit;</text>
      </paragraph>
      <paragraph num="E.">
        <text>Have the results of a physical exam documented by the applicant's physician on the application form; and</text>
      </paragraph>
      <paragraph num="F.">
        <text>Provide the medical director with medical records if the applicant has been hospitalized.</text>
      </paragraph>
    </regulation>
    <regulation prefix="Regulation" num=".04" heading="Admission Requirements.">
      <paragraph num="A.">
        <text>In order to be considered for admission, a veteran or spouse:</text>
        <paragraph num="(1)">
          <text>May not require acute care;</text>
        </paragraph>
        <paragraph num="(2)">
          <text>May not have any infectious, communicable disease that would present a continuing health risk to other residents of the home;</text>
        </paragraph>
        <paragraph num="(3)">
          <text>May not be mentally ill or dangerous to self or others so that extensive psychiatric care is required;</text>
        </paragraph>
        <paragraph num="(4)">
          <text>May not be chemically dependent, to substances such as drugs, narcotics, or alcohol, and, if previously dependent, shall have participated in a structured rehabilitative program before admission; and</text>
        </paragraph>
        <paragraph num="(5)">
          <text>Shall have a completed physical exam.</text>
        </paragraph>
      </paragraph>
      <paragraph num="B.">
        <text>If a veteran has criminal charges pending, is under a lawful detainer, or has been convicted of a crime, the Department shall evaluate the charges or conviction to determine whether admission to Charlotte Hall is appropriate.</text>
      </paragraph>
      <paragraph num="C.">
        <text>Charlotte Hall Veterans' Home may admit only those veterans and spouses for whom the Home is capable of providing the appropriate level of care required.</text>
      </paragraph>
    </regulation>
    <annotations>
      <annotation type="Authority">State Government Article, §§9-902, 9-909, 9-910, and 9-911, Annotated Code of Maryland</annotation>
      <annotation type="History" subtype="Administrative History">Effective date: February 10, 1986 (13:3 Md. R. 273)</annotation>
      <annotation type="History" subtype="Administrative History">Chapter 14.16.01 repealed effective August 11, 2008 (35:16 Md. R. 1392)</annotation>
      <annotation type="History" subtype="Administrative History">Regulations .01—.04 adopted effective August 11, 2008 (35:16 Md. R. 1392)</annotation>
    </annotations>
  </chapter>
</subtitle>