reglab/statecodes huggingface dataset:
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.15 - Application for Hospitals and Related Institutions › Section 10.07.15.01 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meaning indicated.
B. Terms Defined.
(1) "Department" means the Department of
				  Health and Mental Hygiene.
(2)
				  "Health care facility within a correctional institution" means a specified area
				  within the correctional institution in which general and clinical health care
				  services are provided to inmates in the custody of the Division of
				  Corrections.
(3) "Intermediate care
				  facility for Individuals with Intellectual Disabilities or persons with related
				  conditions (ICF/IID)" means a facility which provides residential care,
				  treatment, or custody for the intellectually disabled.
(4) "Person" means an individual, receiver,
				  trustee, guardian, personal representative, fiduciary, or representative of any
				  kind and any partnership, firm, association, corporation, or other
				  entity.
(5) Related Institution.
(a) "Related institution" means an organized
				  institution, environment, or home that:
(i)
				  Maintains conditions or facilities and equipment to provide domiciliary,
				  personal, or nursing care for two or more unrelated individuals who are
				  dependent on the administrator, operator, or proprietor for nursing care or the
				  subsistence of daily living in a safe, sanitary, and healthful environment;
				  and
(ii) Admits or retains the
				  individual for overnight care.
(b) "Related institution" does not include:
(i) An adult residential environment or home
				  that is certified by the Department of Human Resources;
(ii) A nursing facility or visiting nurse
				  service that is conducted only by or for adherents of a recognized church or
				  religious denomination, in accordance with tenets and practices that include
				  reliance on treatment by spiritual means alone for healing; or
(iii) Any sheltered housing for the elderly,
				  as defined in Article 70B, §1, Annotated Code of Maryland, that is
				  certified by the Department of Aging, unless the housing provides for more than
				  11 individuals in one building that does not have more than one apartment unit,
				  or if there are apartment units in the building, in one apartment
				  unit.
(6)
				  "Residential treatment center for emotionally disturbed children and
				  adolescents" means a facility which houses two or more non-related children or
				  adolescents referred for treatment upon the recommendation of a physician. The
				  overall program must be approved by the Department of Health and Mental
				  Hygiene, the Department of Human Resources, and the State Department of
				  Education.
(7) "Secretary" means
				  the Secretary of Health and Mental Hygiene.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.15 - Application for Hospitals and Related Institutions › Section 10.07.15.02 - Application Requirements

Current through Register Vol. 51, No. 14, July 12, 2024
A. Any
				  person desiring to open a related institution or to continue the operation of a
				  related institution shall file an application with the Secretary, on a form
				  provided by the Secretary.
B.
				  Applications on behalf of a corporation, association, or governmental unit or
				  agency shall be made by two officers of the corporation, association, or
				  governmental unit or agency and names of their board members shall be
				  submitted.
C. Ownership of
				  property, real estate, and equipment shall be disclosed if it is other than the
				  licensee's.
D. The names of persons
				  holding 2 percent or more of the stock or assets shall be disclosed.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.16 - Limited Private Inpatient Facilities › Section 10.07.16.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
The purpose of this chapter is to:
A. Outline the licensing, site, and staffing
				  requirements for a provider of limited private inpatient facility services;
				  and
B. Provide a flexible model of
				  service delivery and oversight.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.16 - Limited Private Inpatient Facilities › Section 10.07.16.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meanings indicated.
B. Terms Defined.
(1) "Administration" means the Behavioral
				  Health Administration.
(2)
				  "Department" means the Maryland Department of Health and Mental Hygiene or its
				  designee.
(3) "Facility" means a
				  limited private inpatient facility.
(4) "Facility service plan" means a statement
				  of the facility's mission, vision, scope, and purpose, as well as all specific
				  requirements detailed under Regulation .10 of this chapter.
(5) "Individual treatment plan" means the
				  plan prepared according to the requirements outlined in:
(a) Health-General Article, §10-706,
				  Annotated Code of Maryland; and
(b)
				  COMAR 10.21.03.
(6)
				  "License" means a license issued by the Department to operate a limited private
				  inpatient facility in this State.
(7) "Licensed nurse" means a practical nurse
				  or registered nurse licensed by the Board of Nursing under the provisions of
				  Health Occupations Article, Title 8, Annotated Code of Maryland.
(8) Limited Private Inpatient Facility.
(a) "Limited private inpatient facility"
				  means a private inpatient treatment facility that provides mental health
				  evaluation and treatment to adults 24 hours per day.
(b) "Limited private inpatient facility" does
				  not include:
(i) A facility licensed to
				  provide mental health services under authority of a statute other than
				  Health-General Article, §§10-501 -10-511, Annotated Code of Maryland;
				  or
(ii) A facility that bills for
				  reimbursement under the Medical Assistance Program.
(9) "Joint Commission" means a
				  voluntary national healthcare accreditation service recognized for Medicare
				  certification purposes by Public Law 89-97 and for Maryland State licensure
				  purposes by Health-General Article, §19-2302, Annotated Code of
				  Maryland.
(10) "Mental health
				  professional" means an individual who is licensed, certified, or otherwise
				  legally authorized to provide the mental health service:
(a) Under Health Occupations Article,
				  Annotated Code of Maryland; or
(b)
				  In the state where the service is rendered.
(11) "Secretary" means the Secretary of
				  Health and Mental Hygiene.
(12)
				  Usable Square Feet.
(a) "Usable square feet"
				  means physical space that is available for resident use.
(b) "Usable square feet" does not include:
(i) Service areas;
(ii) Administrative offices;
(iii) Entrance ways including the space where
				  a door swings open;
(iv) Closets,
				  lockers, and wardrobes;
(v) Spaces
				  where ceiling heights are less than acceptable for habitable space, as defined
				  by the applicable local building code; or
(vi) Corridors.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.16 - Limited Private Inpatient Facilities › Section 10.07.16.03 - Incorporation by Reference

Current through Register Vol. 51, No. 14, July 12, 2024
A. In
				  this chapter, the following is incorporated by reference.
B. Document Incorporated. "Standards for
				  Behavioral Health Care, 2013 Edition, The Joint Commission, One Renaissance
				  Blvd., Oakbrook Terrace, Illinois 60181".
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.16 - Limited Private Inpatient Facilities › Section 10.07.16.04 - Eligibility

Current through Register Vol. 51, No. 14, July 12, 2024
A. An individual is
				  eligible for limited private inpatient facility services if the individual:
(1) Requires 24-hour inpatient mental health
				  evaluation and treatment services but does not require acute or long-term
				  psychiatric hospital services; and
(2) Has stated a willingness to comply with
				  program rules.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.16 - Limited Private Inpatient Facilities › Section 10.07.16.05 - Licensure Process

Current through Register Vol. 51, No. 14, July 12, 2024
A. An
				  applicant shall obtain a license from the Department before providing
				  services.
B. Initial and Renewal
				  Licensure. In order to be licensed as a limited private inpatient facility, the
				  facility shall:
(1) File an initial
				  application with the Department that:
(a) Is
				  on the written or electronic form approved by the Department with the
				  requirement that all questions are answered and all required documents are
				  attached; and
(b) Includes
				  documentation of:
(i) Fire, liability, and
				  hazard insurance coverage on the building in which the facility is
				  located;
(ii) Compliance with
				  relevant federal, State, or local ordinances, laws, regulations, and orders,
				  including zoning and safety; and
(iii) Accreditation as a limited private
				  inpatient facility or comparable facility by the Joint Commission under its
				  Standards for Behavioral Health Care;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.16 - Limited Private Inpatient Facilities › Section 10.07.16.06 - Duration of License

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  Secretary shall issue a license to an accredited facility for the term of the
				  facility's accreditation.
B. The
				  Secretary shall issue a provisional license to a non-accredited facility that
				  otherwise meets the requirements for licensure for a term not to exceed 1 year
				  with the requirement that the facility shall become accredited within that
				  1-year period or cease operations.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.16 - Limited Private Inpatient Facilities › Section 10.07.16.07 - Separate License Required

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  A separate license is required for facilities maintained on separate premises,
				  even if both facilities are operated under the same management.
B. A separate license is not required for
				  separate buildings on the same grounds.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.16 - Limited Private Inpatient Facilities › Section 10.07.16.08 - Inspections

Current through Register Vol. 51, No. 14, July 12, 2024
A. A facility shall
				  be open to inspection by the Department at all times for the purpose of quality
				  oversight and investigation of complaints or incidents.
B. The facility's administrative and medical
				  records shall be available for review and for copying by the
				  Department.
C. New Facilities.
(1) A facility that is issued a provisional
				  license shall be subject to inspections by the Department every 6 months and at
				  any other time to determine compliance with:
(a) This chapter; and
(b) The Standards for Behavioral Health
				  Care.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.16 - Limited Private Inpatient Facilities › Section 10.07.16.09 - Complaint Investigations

Current through Register Vol. 51, No. 14, July 12, 2024
A. To
				  resolve expeditiously a complaint that alleges the existence of any
				  non-life-threatening deficiency:
(1) The
				  Department shall refer the complaint directly to the facility; and
(2) The facility shall:
(a) Conduct an internal investigation into
				  the complaint; and
(b) Submit the
				  investigation and supportive evidence to the Department within 30 days of the
				  receipt of the complaint.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.16 - Limited Private Inpatient Facilities › Section 10.07.16.10 - Facility Service Plan

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  limited private inpatient facility shall provide services in accordance with
				  the facility service plan submitted to and approved by the
				  Department.
B. A written facility
				  service plan shall include at a minimum:
(1)
				  The rationale for the facility including discussion of the organization's
				  mission, vision, and philosophy for provision of services;
(2) The range of services that the facility
				  will provide;
(3) The populations
				  to be served, including age groups and other relevant characteristics, and the
				  number of individuals that the program expects to serve;
(4) The composition of the facility's
				  governing body, board of directors, or advisory committee, whichever
				  applies;
(5) A description of staff
				  or care providers necessary to provide the planned services and any necessary
				  training requirements;
(6) The
				  facility's goals, objectives, and expected outcomes; and
(7) A detailed scope or description of
				  services offered.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.16 - Limited Private Inpatient Facilities › Section 10.07.16.11 - Staffing

Current through Register Vol. 51, No. 14, July 12, 2024
A. Required Staff.
				  The facility director shall ensure that the facility's staff is sufficient in
				  numbers and qualifications to provide clinically appropriate services to the
				  individuals served and includes, at a minimum:
(1) A facility director that is responsible
				  for the programmatic and administrative services of the facility under the
				  direction of the governing body;
(2) A clinical director who:
(a) Is a psychiatrist or psychologist who
				  receives medical supervision by a psychiatrist; and
(b) Has overall responsibility for clinical
				  services, including, at a minimum:
(i)
				  Establishing and maintaining appropriate standards for diagnosis and treatment,
				  including therapeutic modalities and prescribing practices;
(ii)Medical aspects of quality management;
				  and
(iii) Ensuring adequate
				  clinical supervision of treatment staff;
(3) A multidisciplinary licensed mental
				  health professional staff that:
(a) Provides
				  evaluation and treatment services; and
(b) Is in addition to the limited private
				  inpatient facility psychiatrist;
(4) A licensed nurse to provide for
				  medication management, treatments, and other health care needs;
(5) Other direct care employees to provide
				  for the treatment and monitoring of residents as required by the resident's
				  individual treatment plan;
(6) A
				  physician to provide somatic medical services as required by the clients;
				  and
(7) Maintenance and
				  housekeeping staff who are trained and qualified to provide a well-maintained,
				  safe, and sanitary environment for residents served by the program.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.16 - Limited Private Inpatient Facilities › Section 10.07.16.12 - Physical Environment Requirements

Current through Register Vol. 51, No. 14, July 12, 2024
A. A limited private inpatient facility shall
				  have a building that:
(1) Meets all relevant
				  federal, State, or local ordinances, laws, regulations, and building codes;
				  and
(2) Provides sufficient space
				  for group and individual therapies, dining equipped with tables and chairs for
				  resident meal service, and administrative services.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.16 - Limited Private Inpatient Facilities › Section 10.07.16.13 - Emergency Procedures

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  program shall develop an emergency plan and procedures that shall be followed
				  in the event of an internal or external emergency.
B. The emergency plan and procedures shall;
(1) Be updated annually; and
(2) Include:
(a) Easily accessible emergency telephone
				  numbers posted at or near a telephone for:
(i)
				  Fire;
(ii) Police;
(iii) Ambulance;
(iv) Poison control; and
(v) The program's on-call staff;
(b) An emergency evacuation
				  procedure that is explained to the residents and practiced by residents and
				  staff on all shifts at a minimum of once every 3 months;
(c) Provisions for emergency lighting and
				  fire detection and suppression systems operable during loss of power as
				  required by the Maryland State Fire Code;
(d) A 3-day emergency food and water supply;
				  and
(e) A relocation plan in the
				  event that the facility is partially or entirely vacated, which shall include:
(i) A plan for transportation of the
				  residents, at the facility's expense, to relocate the residents;
(ii) A process for transfer of the medical
				  records information for the residents in a manner to protect the residents'
				  privacy;
(iii) A system to track
				  where and how the resident was transported;
(iv) How families will be notified, if
				  desired by the resident; and
(v)
				  Provisions that provide for any other associated costs at the facility's
				  expense.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.16 - Limited Private Inpatient Facilities › Section 10.07.16.14 - Dietary Services

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  facility shall ensure sufficient numbers of trained and qualified staff to meet
				  the nutritional needs of residents served by the facility.
B. Nutritional Needs. The facility shall
				  ensure that:
(1) A resident is provided three
				  meals in a common dining area and additional snacks during each 24-hour period,
				  7 days a week;
(2) Meals and snacks
				  are well-balanced, varied, palatable, properly prepared, and of sufficient
				  quality and quantity to meet the daily nutritional needs of each resident with
				  specific attention given to the preferences and needs of each
				  resident;
(3) All food is prepared
				  in accordance with all State and local sanitation and safe food handling
				  requirements;
(4) Food preparation
				  areas are maintained in accordance with all State and local sanitation and safe
				  food handling requirements;
(5)
				  Residents have access to snacks during the evening hours; and
(6) Staff prepares or arranges for the
				  provision of therapeutic or special diets as ordered by the resident's
				  physician or as needed by the resident's condition.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.16 - Limited Private Inpatient Facilities › Section 10.07.16.15 - Resident's Rights

Current through Register Vol. 51, No. 14, July 12, 2024
A facility shall:
A. Explain to a resident their rights as set
				  forth in Health-General Article, Title 10, Subtitle 7, and Title 4, Subtitle 3,
				  Annotated Code of Maryland;
B.
				  Provide, in writing, information regarding an individual's rights as outlined
				  in §A of this regulation to a resident; and
C. Prominently display, in accessible
				  centralized locations, the individual's rights as outlined in §A of this
				  regulation.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.16 - Limited Private Inpatient Facilities › Section 10.07.16.16 - Records

Current through Register Vol. 51, No. 14, July 12, 2024
A. The facility
				  shall, either manually or electronically:
(1)
				  Establish a record for a resident; and
(2) Ensure that entries in the record are
				  dated, signed, and include the signer's degree or license, or if the signer has
				  no degree or license, the signer's staff position.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.16 - Limited Private Inpatient Facilities › Section 10.07.16.17 - Reporting of Deaths

Current through Register Vol. 51, No. 14, July 12, 2024
Upon the death of an individual in the facility, the
					 administrative head of the facility shall:
A. Submit a written report to the Department
				  within 5 working days of the death; and
B. Use the form required by the
				  Administration.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.16 - Limited Private Inpatient Facilities › Section 10.07.16.18 - Denial or Revocation of Approval

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Secretary may deny or revoke the
				  license of a limited private inpatient facility that:
(1) Does not comply with:
(a) Health-General Article,
				  §§10-501 -10-511, Annotated Code of Maryland;
(b) Health-General Article,
				  §§10-701 -10-713, Annotated Code of Maryland; or
(c) The provisions of this chapter;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.16 - Limited Private Inpatient Facilities › Section 10.07.16.19 - Sanctions

Current through Register Vol. 51, No. 14, July 12, 2024
A. If the Secretary
				  determines serious or life-threatening resident care deficiencies exist at the
				  limited private inpatient facility or that the facility fails to take the
				  necessary corrective action, the Secretary may:
(1) Revoke or place restrictions on the
				  license;
(2) Impose a civil money
				  penalty of not more than $10,000 per instance or per day;
(3) Impose a directed plan of correction;
				  or
(4) Impose appropriate operating
				  conditions.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.16 - Limited Private Inpatient Facilities › Section 10.07.16.20 - Emergency Suspension

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  Secretary may immediately suspend a license on a finding that the public
				  health, safety, or welfare requires emergency action.
B. The Department shall deliver a written
				  notice to the licensee:
(1) Informing the
				  licensee of the emergency suspension;
(2) Giving the reasons for the action and the
				  regulation or regulations with which the licensee has failed to comply that
				  form the basis for the emergency suspension; and
(3) Notifying the licensee of the licensee's
				  right to request a hearing and to be represented by counsel.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.16 - Limited Private Inpatient Facilities › Section 10.07.16.21 - Revocation of License

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  Secretary, for cause shown, shall notify the licensee of the Secretary's
				  decision to revoke the facility's license. The revocation shall be stayed if a
				  hearing is requested.
B. The
				  Secretary may revoke a license if the licensee:
(1) Has been convicted of a felony that
				  relates to Medicaid or Medicare or a crime involving moral turpitude;
(2) Does not comply with the requirements of
				  this chapter; or
(3) Fails to
				  comply with the standards for the operation of a limited private inpatient
				  facility or comparable facility as set forth in the Standards for Behavioral
				  Health Care.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.16 - Limited Private Inpatient Facilities › Section 10.07.16.22 - Hearings

Current through Register Vol. 51, No. 14, July 12, 2024
A. A request for a
				  hearing shall be filed with the Office of Administrative Hearings, with a copy
				  to the Office of Health Care Quality of the Department, not later than 30 days
				  after receipt of notice of the Secretary's action. The request shall include a
				  copy of the Secretary's action.
B.
				  A hearing requested under this chapter shall be conducted in accordance with
				  State Government Article, §
										10-201 et seq.,
				  Annotated Code of Maryland, and COMAR 28.02.01 and 10.01.03.
C. The burden of proof is as set forth in
				  COMAR 10.01.03.28.
D. Unless
				  otherwise stated in this chapter, the Office of Administrative Hearings shall
				  issue a proposed decision within the time frames set forth in COMAR
				  28.02.01.
E. The aggrieved person
				  may file exceptions as set forth in COMAR 10.01.03.35.
F. The Secretary shall issue a final decision
				  in accordance with COMAR 10.01.03.35.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.16 - Limited Private Inpatient Facilities › Section 10.07.16.23 - Licensure Standards Waiver

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  The Department may grant a limited private inpatient facility a waiver from the
				  licensure requirements under Regulation .12 of this chapter with, or without,
				  conditions.
B. Application for
				  Licensure Standards Waiver.
(1) A facility
				  shall submit a request for a waiver on a form developed by the
				  Department.
(2) The requestor shall
				  provide in writing the:
(a) Regulation from
				  which a waiver is sought;
(b)
				  Reason the facility is unable to comply with the regulation;
(c) Reason that compliance with the
				  regulation will impose a substantial hardship; and
(d) Reason that a waiver will not adversely
				  affect residents.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.17 - Limited Service Hospital › Section 10.07.17.01 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meanings indicated.
B. Terms Defined.
(1) "Advanced life support" means initial
				  resuscitation or emergency care provided to a patient with a serious illness or
				  injury.
(2) "Department" means the
				  Department of Health and Mental Hygiene.
(3) "Facility" means a limited service
				  hospital.
(4) "License" means a
				  license issued by the Secretary to operate a limited service hospital in this
				  State.
(5) "Limited service
				  hospital" means a health care facility that:
(a) Is licensed as a hospital on or after
				  January 1, 1999;
(b) Changes the
				  type or scope of health care services offered by eliminating the facility's
				  capability to admit or retain patients for overnight hospitalization;
				  and
(c) Retains an emergency or
				  urgent care center for the purpose of providing advanced life
				  support.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.17 - Limited Service Hospital › Section 10.07.17.02 - License Required

Current through Register Vol. 51, No. 14, July 12, 2024
A person may not convert to, operate, or continue the
					 operation of an existing limited service hospital without first obtaining a
					 license from the Secretary. A license is valid for 1 year from the date of
					 issuance, unless revoked by the Secretary.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.17 - Limited Service Hospital › Section 10.07.17.03 - Application Procedure

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  person desiring to convert an existing facility, or to change the
				  classification of an existing hospital to a limited service hospital, shall
				  file an application with the Secretary, on a written or electronic form
				  provided by the Secretary.
B. An
				  application on behalf of a corporation, association, or governmental unit or
				  agency shall be made by two officers of the corporation, association, or
				  governmental unit or agency. The names of their board members shall be
				  submitted. Ownership of property, real estate, and equipment shall be disclosed
				  if owned by other than the applicant. The names of persons holding 2 percent or
				  more of the stock or assets of the limited service hospital shall be
				  disclosed.
C. Along with the
				  application, the applicant shall provide:
(1)
				  A statement signed by the applicant that the facility will be open 24 hours a
				  day, 7 days a week;
(2) A plan
				  describing the services to be provided by the facility, including but not
				  limited to the following:
(a) Types and scope
				  of services,
(b) A description of
				  staff, including the number and types of health care professionals who will be
				  on duty at all times, and
(c)
				  Qualifications, duties, and responsibilities of personnel;
(3) A written description of the facility's
				  quality assurance program which includes, at a minimum:
(a) A description of how the facility will
				  comply with Regulation .06A of this chapter, and
(b) The manner in which information will be
				  collected;
(4) Policies
				  and procedures, including but not limited to the following:
(a) The transfer or referral of patients who
				  require services that are not provided by the facility,
(b) The administration of medicines unique to
				  the needs of the patients,
(c)
				  Infection control procedures,
(d)
				  Development and implementation of a quality assurance program,
(e) Pertinent safety practices, including the
				  control of fire and mechanical hazards, and
(f) Preventive maintenance for equipment in
				  the facility;
(5)
				  Protocols for obtaining specialized services;
(6) Protocols for emergency situations,
				  including:
(a) Procedures for transporting
				  individuals to hospitals or other health care facilities, and
(b) Plans to ensure that there will be
				  sufficient nurses and other health professionals with appropriate training on
				  duty to provide advanced life support;
(7) A statement of the facility's role in the
				  Emergency Medical Services System as approved by the Maryland Institute for
				  Emergency Medical Services Systems; and
(8) A statement that the facility's emergency
				  services are available to all persons regardless of ability to pay.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.17 - Limited Service Hospital › Section 10.07.17.04 - License Renewal

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  licensee shall file an application for license renewal on a written or
				  electronic form provided by the Secretary at least 60 days before the current
				  license expires.
B. The licensee
				  shall include with the application for license renewal:
(1) Updated documents listed in Regulation
				  .03C(2) - (8) of this chapter if any of the information has changed during the
				  current licensure period; and
(2)
				  The nonrefundable license fee of $1,000.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.17 - Limited Service Hospital › Section 10.07.17.05 - Standards for Service

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  facility shall comply with applicable federal, State, and local laws and
				  regulations.
B. Restriction of
				  License-Nomenclature. A limited service hospital may not use in its title the
				  words "emergency department", "emergency center", "emergency room", or any
				  other terminology in referring to the limited service hospital or any part of
				  the facility that may convey to the public that the facility is prepared to
				  provide the full range of emergency services that are normally provided by a
				  hospital.
C. Hours of Operation.
				  The facility shall be open 24 hours a day, 7 days a week.
D. Staff.
(1) At least one physician who is
				  credentialed in emergency medicine shall be at the facility at all
				  times.
(2) The facility shall have
				  a sufficient number of registered nurses and other health professionals with
				  appropriate training to provide advanced life support.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.17 - Limited Service Hospital › Section 10.07.17.06 - Quality Assurance

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  facility shall plan and implement a quality assurance program which includes:
(1) Monitoring and evaluation of the quality
				  of patient care;
(2)
				  Identification, evaluation, and resolution of care problems; and
(3) A peer review process.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.17 - Limited Service Hospital › Section 10.07.17.07 - Risk Management Program

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  A facility shall comply with the requirements of COMAR
				  10.07.01.25B.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.17 - Limited Service Hospital › Section 10.07.17.08 - Utilization Review

Current through Register Vol. 51, No. 14, July 12, 2024
A facility shall comply with the requirements of COMAR
					 10.07.01.13B
					 -.19.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.17 - Limited Service Hospital › Section 10.07.17.09 - Physician Credentialing

Current through Register Vol. 51, No. 14, July 12, 2024
A facility shall comply with the requirements of COMAR
					 10.07.01.24B.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.17 - Limited Service Hospital › Section 10.07.17.10 - Penalties

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Secretary
				  shall deny a license to a person who has been convicted of a felony that
				  relates to Medicaid or to a nursing home.
B. The Secretary shall revoke the license of
				  any licensee convicted of a felony that relates to Medicaid or to a nursing
				  home.
C. The Secretary may deny or
				  revoke a license if the facility does not meet the requirements of:
(1) Health-General Article, Title 19,
				  Subtitle 3, Annotated Code of Maryland; and
(2) Any regulation adopted under
				  Health-General Article, Title 19, Subtitle 3, Annotated Code of
				  Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.18 - Comprehensive Rehabilitation Facilities › Section 10.07.18.01 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following words have the meanings indicated.
B. Terms Defined.
(1) "Commission on Accreditation of
				  Rehabilitation Facilities" means the private, nonprofit organization formed in
				  1966 which has established standards of quality for rehabilitation services,
				  and which accredits those who provide the services.
(2) "Comprehensive physical rehabilitation
				  services" has the meaning stated in Health-General Article, §19-1201(b),
				  Annotated Code of Maryland.
(3)
				  "Comprehensive rehabilitation facility" means any person who provides or holds
				  itself out as providing comprehensive physical rehabilitation services on an
				  out-patient basis.
(4) "Specialized
				  rehabilitation program" has the meaning stated in Health-General Article,
				  §19-1201(e), Annotated Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.18 - Comprehensive Rehabilitation Facilities › Section 10.07.18.02 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter does not apply to a home health agency or
					 special rehabilitation hospital.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.18 - Comprehensive Rehabilitation Facilities › Section 10.07.18.03 - Compliance Required

Current through Register Vol. 51, No. 14, July 12, 2024
A comprehensive rehabilitation facility shall comply with
					 the requirements of this chapter before the facility may provide:
A. Comprehensive rehabilitation services;
				  or
B. A specialized rehabilitation
				  program.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.18 - Comprehensive Rehabilitation Facilities › Section 10.07.18.04 - License Provisions

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  comprehensive rehabilitation facility license is required before a person may
				  provide or hold itself out as providing comprehensive physical rehabilitation
				  services in the State.
B. To obtain
				  a comprehensive rehabilitation facility license, a person shall:
(1) Submit an application on the written or
				  electronic form provided by the Secretary;
(2) Pay to the Secretary an application fee
				  of $10; and
(3) Meet any
				  requirement imposed under Health-General Article, Title 19, Subtitle 1,
				  Annotated Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.18 - Comprehensive Rehabilitation Facilities › Section 10.07.18.05 - Standards of Operation

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  comprehensive rehabilitation facility:
(1)
				  Shall be accredited by the Commission on Accreditation of Rehabilitation
				  Facilities;
(2) May provide only
				  those specialized rehabilitation programs that the facility has been accredited
				  to provide by the Commission on Accreditation of Rehabilitation
				  Facilities;
(3) Shall meet the
				  standards provided by the Commission on Accreditation of Rehabilitation
				  Facilities as set forth in the 2002 Medical Rehabilitation Standards Manual
				  (Commission on Accreditation of Rehabilitation Facilities, 4891 East Grant
				  Road, Tucson, AZ 85712) which is incorporated by reference;
(4) Shall meet any other requirements that
				  may be imposed by law.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.18 - Comprehensive Rehabilitation Facilities › Section 10.07.18.06 - Records and Reports - Inspection

Current through Register Vol. 51, No. 14, July 12, 2024
Licensees shall keep such records and make reports in the
					 manner and form as the Secretary shall prescribe, and all these records shall
					 be open to inspection by the Secretary.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.18 - Comprehensive Rehabilitation Facilities › Section 10.07.18.07 - Enforcement

Current through Register Vol. 51, No. 14, July 12, 2024
The Secretary may enforce the provisions of this chapter by
					 any method available at law, including any civil action or criminal
					 prosecution. Civil actions include, but are not limited to, license
					 revocations.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.20 - Intermediate Care Facilities for Individuals with Intellectual Disabilities or Persons with Related Conditions (ICF/IID) › Section 10.07.20.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter applies to any person, whether public or
					 private, operating a facility that:
A.
				  Provides health-related services on a regular basis to individuals:
(1) Who do not require hospital care;
				  and
(2) Whose mental or physical
				  condition requires services that:
(a) Are
				  above the level of room and board; and
(b) Can be made available only through
				  institutional facilities; and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.20 - Intermediate Care Facilities for Individuals with Intellectual Disabilities or Persons with Related Conditions (ICF/IID) › Section 10.07.20.02 - Applicability of Health-General Article, Annotated Code of Maryland

Current through Register Vol. 51, No. 14, July 12, 2024
An intermediate care facility for individuals with
					 intellectual disabilities or persons with related conditions (ICF/IID) shall be
					 considered:
A. A "related institution"
				  under Health-General Article, §19-301, Annotated Code of Maryland, and
				  shall be governed by the provisions of Title 19, Subtitle 3 of that article;
				  and
B. A provider of "services"
				  under Health-General Article, §7-101, Annotated Code of Maryland, and
				  shall be governed by the applicable provisions of Title 7 of that article
				  including:
(1) Subtitle 4: Provisions of
				  Services;
(2) Subtitle 5: State
				  Residential Centers for Individuals With Mental Retardation if the facility is
				  operated by the State;
(3) Subtitle
				  8: Transfers; and
(4) Subtitle 10:
				  Rights of Individuals.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.20 - Intermediate Care Facilities for Individuals with Intellectual Disabilities or Persons with Related Conditions (ICF/IID) › Section 10.07.20.03 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meanings indicated.
B. Terms Defined.
(1) "Department" means the Department of
				  Health and Mental Hygiene.
(2)
				  "Facility" means an intermediate care facility for individuals with
				  intellectual disabilities or persons with related conditions (ICF/IID) within
				  the scope of this chapter.
(3)
				  "License" means a license issued by the Secretary to operate a
				  facility.
(4) "Secretary" means the
				  Secretary of Health and Mental Hygiene.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.20 - Intermediate Care Facilities for Individuals with Intellectual Disabilities or Persons with Related Conditions (ICF/IID) › Section 10.07.20.04 - Licensing Procedure

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  person shall be licensed by the Secretary before the person may operate a
				  facility in the State.
B. An
				  applicant for a license shall:
(1) Submit to
				  the Secretary an application:
(a) In the form
				  and manner prescribed by the Secretary on the written or electronic form
				  provided by the Secretary; and
(b)
				  Signed and verified by the applicant; and
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.20 - Intermediate Care Facilities for Individuals with Intellectual Disabilities or Persons with Related Conditions (ICF/IID) › Section 10.07.20.05 - Standards of Operation

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  General. Whether or not a facility participates in Medicare or Medicaid, the
				  facility shall meet the requirements set forth in
				  42 CFR §
											483.400 et seq., which is incorporated by
				  reference.
B. Safety and
				  Sanitation. The facility, its grounds, fixtures and equipment shall be:
(1) Maintained in good repair, clean, and
				  attractive;
(2) Free of unnecessary
				  accumulations of personal property or debris; and
(3) Free of hazards, insects, and
				  rodents.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.20 - Intermediate Care Facilities for Individuals with Intellectual Disabilities or Persons with Related Conditions (ICF/IID) › Section 10.07.20.07 - Inspections

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Department
				  shall inspect each facility at least annually to determine compliance with
				  these regulations.
B. A licensed
				  facility and any facility applying for a license shall be open to inspection by
				  the Department at all times.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.21 - Hospice Care Programs › Section 10.07.21.01 - Scope and Purpose

Current through Register Vol. 51, No. 14, July 12, 2024
This chapter applies to any general or limited hospice care
					 program as defined in Health-General Article, §19-901, Annotated Code of
					 Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.21 - Hospice Care Programs › Section 10.07.21.03 - License Required

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  person may not operate or represent itself as operating a hospice care program
				  in this State, without first obtaining a license from the Secretary.
B. Section A of this regulation applies to a
				  home health agency, hospital, related institution, or other licensed facility
				  that operates a hospice care program that is distinct from the other services
				  that it is authorized to provide.
C. Types of Licenses. The Secretary shall
				  require a hospice care program to be licensed as a:
(1) General hospice care program if the
				  hospice care program provides, directly or by contract, home-based or inpatient
				  care involving medical, nursing, or other skilled health services; or
(2) Limited hospice care program if the
				  program provides, directly or by contract, nonskilled hospice services in a
				  home-based setting.