reglab/statecodes huggingface dataset:
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.22 - Hospice Care Programs: Hospice House Requirements › Section 10.07.22.20 - Water Supply

Current through Register Vol. 51, No. 14, July 12, 2024
A. Approved
				  Source. A facility shall be served by water from an approved public water
				  supply. If an approved public water supply is not available, a private water
				  supply may be accepted if it is approved by the local jurisdiction in which the
				  hospice house is located or a private certified vendor.
B. Adequacy. The water supply shall be
				  adequate in quantity and delivered under sufficient pressure to satisfactorily
				  serve all fixtures in the facility.
C. Hot Water Temperature. Hot water
				  accessible to patients shall be blended externally to the hot water generator,
				  by either individual point-of-use control valves of the anti-scald or
				  thermostatic mixing valve type, to a maximum temperature of 120°F and a
				  minimum temperature of 110°F at the fixture.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.22 - Hospice Care Programs: Hospice House Requirements › Section 10.07.22.21 - Sewage Disposal

Current through Register Vol. 51, No. 14, July 12, 2024
The facility shall be served by an approved public sewage
					 disposal system, if available. If an approved public sewage disposal system is
					 not available, a private sewage disposal system may be accepted if approved by
					 the local jurisdiction in which the program is located.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.22 - Hospice Care Programs: Hospice House Requirements › Section 10.07.22.22 - Security

Current through Register Vol. 51, No. 14, July 12, 2024
40:02
The facility shall have policies and procedures in place to
					 provide a secure environment for the patient, family, and
					 staff.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.22 - Hospice Care Programs: Hospice House Requirements › Section 10.07.22.23 - Assist Rails

Current through Register Vol. 51, No. 14, July 12, 2024
A. The hospice
				  house shall provide assist rails in stairways used by patients and for all
				  toilets, showers, and bathtubs used by patients.
B. The hospice house with a licensed capacity
				  of 17 or more beds shall also provide assist rails on both sides of corridors
				  used by patients.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.22 - Hospice Care Programs: Hospice House Requirements › Section 10.07.22.24 - Emergency Preparedness

Current through Register Vol. 51, No. 14, July 12, 2024
A. The
				  facility shall be constructed consistent with:
(1) All applicable local fire and building
				  codes; and
(2) The Life Safety
				  Code, NFPA 101, including Chapter 24 of NFPA 101.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.22 - Hospice Care Programs: Hospice House Requirements › Section 10.07.22.25 - Smoking

Current through Register Vol. 51, No. 14, July 12, 2024
The hospice house shall prohibit indoor smoking in
					 accordance with COMAR 10.19.04 and COMAR 10.12.27.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.22 - Hospice Care Programs: Hospice House Requirements › Section 10.07.22.26 - Common Use Areas

Current through Register Vol. 51, No. 14, July 12, 2024
A. Common
				  Areas. The hospice house shall provide common areas for the use of patients and
				  families. The common areas shall be of a size and furnished to accommodate the
				  number of family members reasonably expected to attend the number of patients
				  provided for by the hospice house capacity.
B. Public Toilets. The hospice house shall
				  provide public restrooms that are sufficient in number, and appropriately
				  located, to serve family members and visitors.
C. Dining Area. The hospice house shall
				  provide a well-lit, adequately ventilated, and appropriately furnished dining
				  area for the use of patients, families, and visitors.
D. Kitchen. The hospice house shall have a
				  kitchen that has adequate:
(1) Storage,
				  refrigerator, and freezer space for perishable and nonperishable
				  foods;
(2) Food preparation area or
				  areas with cleanable surfaces;
(3)
				  Space and equipment to wash, sanitize, and store utensils;
(4) Space to store and clean garbage cans
				  wither within or outside the kitchen;
(5) Ice making capabilities; and
(6) Equipment for the preparation of
				  food.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.22 - Hospice Care Programs: Hospice House Requirements › Section 10.07.22.27 - Patients' Rooms and Furnishings

Current through Register Vol. 51, No. 14, July 12, 2024
A. Patient rooms shall be of a size and with
				  furnishings adequate for the hospice residence staff to provide care of the
				  patient as required by the plan of care.
B. Patient rooms shall provide accommodation
				  for one family member to remain with the patient through the night.
C. Patient rooms shall be for the private use
				  of the assigned patient or patients.
D. If a patient in a double occupancy room
				  requests dividers, curtains, or screens between the beds to ensure privacy, the
				  hospice house shall furnish them.
E. The hospice house shall provide adequate
				  closet or wardrobe space, conveniently located to allow each patient to keep
				  personal items.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.22 - Hospice Care Programs: Hospice House Requirements › Section 10.07.22.28 - Bathrooms for Patients

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Toilets. The hospice house shall provide toilets in a separate room or
				  compartment with latching hardware for privacy.
B. Lavatories. Buildings with one to eight
				  occupants shall have a minimum ratio of one lavatory to four occupants.
				  Buildings with nine or more occupants shall have a minimum ratio of one
				  lavatory to four occupants and a minimum of one lavatory for each floor on
				  which a patient room is located.
C.
				  Bathtubs or Showers. The hospice house shall provide patients with bathtubs or
				  showers that are enclosed in a separate room or compartment that ensures
				  privacy.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.22 - Hospice Care Programs: Hospice House Requirements › Section 10.07.22.29 - Illumination

Current through Register Vol. 51, No. 14, July 12, 2024
A. The hospice
				  house shall provide sufficient light to meet the patient's needs.
B. Common use areas, such as entrances,
				  hallways, inclines, ramps, cellars, attics, storerooms, kitchens, and
				  laundries, shall have sufficient artificial lighting to prevent accidents and
				  promote efficient service.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.22 - Hospice Care Programs: Hospice House Requirements › Section 10.07.22.30 - Heating, Ventilation, and Air Conditioning

Current through Register Vol. 51, No. 14, July 12, 2024
A. The hospice house may not use space
				  heaters unless approved by the State or local fire authorities.
B. Minimum Temperature. The facility shall
				  have a system that provides in areas used by patients a minimum temperature of
				  70°F in cold weather and a maximum temperature of 80°F in hot
				  weather.
C. Temperature Control.
				  The hospice house shall provide for each resident's room:
(1) A thermostat; or
(2) An approved mechanical device for
				  modulating a room's temperature, such as adjustable vanes in a hot air
				  vent.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.22 - Hospice Care Programs: Hospice House Requirements › Section 10.07.22.31 - Laundry

Current through Register Vol. 51, No. 14, July 12, 2024
A. The hospice
				  house shall furnish laundry service, either on-site or off-site.
B. The hospice house shall ensure that the
				  laundry is:
(1) Adequate to meet the needs of
				  the patients;
(2) Processed and
				  handled in a manner to prevent the spread of infection; and
(3) Adequately sanitized by the use of
				  sufficient hot water or appropriate chemical representatives, or a combination
				  of both.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.22 - Hospice Care Programs: Hospice House Requirements › Section 10.07.22.32 - Infection Control

Current through Register Vol. 51, No. 14, July 12, 2024
A. The hospice
				  house shall maintain an infection control program that protects patients,
				  staff, and others by preventing and controlling infections and communicable
				  diseases.
B. The hospice house
				  shall follow accepted standards of practice to prevent the transmission of
				  infections and communicable diseases, including the use of standard
				  precautions.
C. The infection
				  control program shall include the following:
(1) Education of employees, contracted
				  providers, patients, and family members about infection control, including
				  their role in preventing the spread of infection and communicable diseases
				  through daily activities;
(2)
				  Techniques for hand washing, respiratory protections, asepsis, as well as other
				  means for limiting the spread of contagion;
(3) Measures for the:
(a) Screening and evaluation of health care
				  workers, including all hospice staff, volunteers, and contract workers,
				  including agency nurses and housekeeping staff for communicable diseases;
				  and
(b) Evaluation of staff and
				  volunteers exposed to patients with non-treated communicable diseases;
				  and
(4) Monitoring staff
				  for compliance with hospice policies and procedures related to infection
				  control.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.22 - Hospice Care Programs: Hospice House Requirements › Section 10.07.22.33 - Pet Visitation

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  hospice house shall have a policy and procedure related to pet
				  visitations.
B. Visiting dogs and
				  cats shall have proof of a current rabies vaccination on file.
C. If another patient has an allergy or a
				  respiratory condition that is aggravated by an animal, the animal shall remain
				  outside of areas where that resident may be.
D. The hospice house has the right to
				  restrict any pet from the hospice house.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.01 - Construction Funds for Public and Nonprofit Nursing Homes › Section 10.08.01.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
A. These
				  regulations govern the administration of construction funds for public and
				  nonprofit nursing homes made available by the Nursing Home Loan Act of 1990,
				  and subsequent similar Loan Acts. In addition, these regulations govern the
				  administration of the assurances, residual requirements, and the State's right
				  of recovery for those applicants that received construction funds under the
				  Nursing Home Loan Acts of 1972, 1975, 1977, 1978, 1980, and 1985.
B. It is the intent of the Department that
				  State grant funds be used:
(1) To assist
				  applicants for the construction, expansion, renovation, and equipping of
				  nursing home eligible under the Nursing Home Loan Act of 1990 and subsequent
				  similar Loan Acts in accordance with these regulations; and
(2) After the applicant has secured all funds
				  available from other sources.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.01 - Construction Funds for Public and Nonprofit Nursing Homes › Section 10.08.01.04 - Eligibility of Applicant for State Funds

Current through Register Vol. 51, No. 14, July 12, 2024
A. To be eligible for State funds under the
				  Loan Act of 1990 and subsequent similar Loan Acts, an applicant:
(1) Shall be a county, a municipal
				  corporation, or a nonprofit organization;
(2) That is a nonprofit organization shall
				  verify its nonprofit status to the Department through its articles of
				  incorporation, or appropriate documentation from the Internal Revenue Service
				  classifying the organization as nonprofit;
(3) Shall have a Certificate of Need from the
				  Maryland Health Care Commission, if a Certificate of Need is required for the
				  project;
(4) Shall be eligible for
				  certification to participate in the Medical Assistance Program and shall agree
				  to participate;
(5) Shall certify
				  that the nursing home meets the requirements of
				  42 U.S.C. §
												12101 et seq.; and
(6) Shall be approved by the Secretary to
				  receive a grant award.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.01 - Construction Funds for Public and Nonprofit Nursing Homes › Section 10.08.01.05 - Priority of Eligible Projects

Current through Register Vol. 51, No. 14, July 12, 2024
The Department shall determine the priority of applicants
					 for State grant funds under the Loan Act of 1990 and subsequent similar Acts
					 after consideration of:
A. All
				  eligible applications;
B. The
				  availability of unallocated State funds at the time an application is received;
				  and
C. Priorities established by
				  the Department.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.01 - Construction Funds for Public and Nonprofit Nursing Homes › Section 10.08.01.06 - Application Procedure

Current through Register Vol. 51, No. 14, July 12, 2024
A. An
				  applicant shall direct an application for State grant funds authorized by the
				  Loan Act of 1990 and subsequent similar Loan Acts to the Office of Capital
				  Planning, Budgeting, and Engineering Services.
B. The Department shall provide notice and
				  information to the State Clearinghouse for intergovernmental review in
				  accordance with COMAR 14.24.04.
C.
				  At the time of filing the application required by §A of this regulation,
				  the applicant shall file a written statement with the Department containing the
				  following material:
(1) Current or intended
				  program of services;
(2) Admission
				  policies for the nursing home;
(3)
				  Agreement to admit patients without discrimination on the basis of race,
				  religion, national origin, creed, or color;
(4) The number of personnel employed or to be
				  employed at the nursing home, by occupation, and all perquisites, salaries, and
				  any other funds paid or to be paid to these personnel;
(5) Expenses incurred or to be incurred in
				  operating the nursing home;
(6) The
				  schedule of rates charged or to be charged for services rendered;
(7) If the nursing home is operating, a
				  current, certified profit-and-loss statement and balance sheet for the most
				  current fiscal year; and
(8) If the
				  applicant is applying for poverty funding under Regulation .09D of this
				  chapter, an agreement that the majority of the individuals served by the
				  applicant shall be poverty-designated clients, as defined in Regulation .09D of
				  this chapter, for each year for a period of 15 years following the completion
				  of the nursing home.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.01 - Construction Funds for Public and Nonprofit Nursing Homes › Section 10.08.01.08 - Residual Requirements of the Grantee

Current through Register Vol. 51, No. 14, July 12, 2024
A. Annual Requirements.
(1) For a period of 15 years following the
				  completion of a project involving these grant funds, a grantee that received
				  funds under the Loan Acts of 1972, 1975, 1977, 1978, 1980, 1985, 1990, and
				  subsequent similar Loan Acts shall file written statements annually with the
				  Department containing the following material:
(a) The number of personnel employed at the
				  nursing home, by occupation, and all perquisites, salaries, and any other funds
				  currently paid to these personnel;
(b) Fees or retainers paid directly or under
				  contract to persons rendering services at the nursing home;
(c) A current, certified, audited
				  profit-and-loss statement and balance sheet for the nursing home;
(d) Rates and fees charged for services at
				  the nursing home;
(e) Gifts or
				  endowments received during the current year;
(f) Patient days of service rendered, showing
				  separately the days of service rendered to patients in the following
				  classifications:
(i) Self-paying,
(ii) Below cost,
(iii) Medicare,
(iv) Medicaid,
(v) Public assistance, and
(g) Other supplemental information
				  required by the Secretary.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.01 - Construction Funds for Public and Nonprofit Nursing Homes › Section 10.08.01.09 - Grant Limitations and Provisions

Current through Register Vol. 51, No. 14, July 12, 2024
A. The provisions of these regulations apply
				  to applicants for grants under the Loan Act of 1990 and subsequent similar Loan
				  Acts.
B. Use of Federal Grants.
				  Federal grants available for a project shall be applied first to the cost of
				  construction, expansion, renovation, and equipping of an eligible nursing home,
				  before a State grant is expended.
C. Limits on State Grant.
(1) For a project without federal
				  participation, a State grant may not be more than:
(a) 50 percent of eligible costs, unless the
				  project is approved for poverty funding; or
(b) 75 percent of eligible costs, if a
				  project is approved for poverty funding.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.01 - Construction Funds for Public and Nonprofit Nursing Homes › Section 10.08.01.10 - Right of Recovery

Current through Register Vol. 51, No. 14, July 12, 2024
A. In the
				  event of default under the terms of the Loan Acts and this chapter, nursing
				  homes which received funds from the Loan Acts of 1975, 1977, 1978, 1980, 1985,
				  1990, and all subsequent Loan Acts are subject to the State's right of recovery
				  as set forth in the Loan Acts.
B.
				  Grant funds received by nursing homes from the Loan Act of 1972 shall be
				  recovered proportionably and in the same manner as federal funds are recovered
				  under the provisions of Subchapter IV-Construction of Hospitals and Other
				  Facilities, 42 U.S.C. §
											291 et seq., as set forth in that Loan
				  Act.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.02 - Construction Funds for Public and Nonprofit Community Mental Health, Addiction, and Developmental Disabilities Facilities › Section 10.08.02.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
A. These
				  regulations govern the administration of State grant funds for public and
				  nonprofit community mental health, addiction, and developmental disabilities
				  facilities made available by the:
(1)
				  Community Mental Health, Addiction, and Developmental Disabilities Facilities
				  Loan Act of 1989, Chapter 126, Laws of Maryland 1989, and similar
				  Acts;
(2) Maryland Consolidated
				  Capital Bond Loan Act of 1990, Chapter 421, Laws of Maryland 1990, and similar
				  Acts;
(3) Maryland Consolidated
				  Capital Bond Loan Act of 1991, Chapter 471, Laws of Maryland 1991 and similar
				  Acts; and
(4) Maryland Consolidated
				  Capital Bond Loan Act of 1992, Chapter 4 (special session), Laws of Maryland
				  1992, and similar Acts.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.02 - Construction Funds for Public and Nonprofit Community Mental Health, Addiction, and Developmental Disabilities Facilities › Section 10.08.02.02 - Repealed

Current through Register Vol. 51, No. 14, July 12, 2024
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.02 - Construction Funds for Public and Nonprofit Community Mental Health, Addiction, and Developmental Disabilities Facilities › Section 10.08.02.04 - Eligibility of Applicant for State Grant Funds

Current through Register Vol. 51, No. 14, July 12, 2024
A. To be eligible for State grant funds under
				  the Act, an applicant shall:
(1) Be a county,
				  a municipal corporation, or a nonprofit organization;
(2) Be recommended by the appropriate
				  administration as a result of a proposal for a project conforming to the plans
				  or program for services by that administration;
(3) Have proposed a project which is in
				  accord with the priorities of the Secretary;
(4) Be eligible for licensing or
				  certification under existing federal or State regulations, or both, when
				  licensing or certification is required in order to provide treatment or
				  services in the facility;
(5) Be
				  eligible for certification, and agree to participate, in Title XVIII and Title
				  XIX of the Social Security Act, if applicable;
(6) Have proposed a project which meets the
				  handicap-accessibility requirements of COMAR 05.02.02, promulgated pursuant to
				  Article 83B, §6-102, Annotated Code of Maryland, if applicable, and
				  42 U.S.C. §
												12101 et seq.; and
(7) Be approved by the Secretary to receive a
				  grant award.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.02 - Construction Funds for Public and Nonprofit Community Mental Health, Addiction, and Developmental Disabilities Facilities › Section 10.08.02.06 - Priority of Awards

Current through Register Vol. 51, No. 14, July 12, 2024
The Department shall determine the priority of applicants
					 for State grant funds after consideration of:
A. All eligible applications;
B. Each project, by the appropriate
				  administration, for conformance with the program or plans for these services
				  established by the respective administrations;
C. Priorities as established by the
				  Department;
D. The reasonableness
				  of the projected capital, and operating costs and revenues, for the
				  facility;
E. The availability of
				  State grant funds;
F. The total
				  unallocated State grant funds available at the time the application is
				  received; and
G. The readiness of
				  the project to go before the Board of Public Works.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.02 - Construction Funds for Public and Nonprofit Community Mental Health, Addiction, and Developmental Disabilities Facilities › Section 10.08.02.07 - Grant Limitations and Provisions

Current through Register Vol. 51, No. 14, July 12, 2024
A. The provisions of these regulations apply
				  to applicants for grants under the Act.
B. Use of Federal Grants. Federal grant funds
				  available for a project shall be applied first to the cost of construction,
				  acquisition, renovation, and initial capital equipment of the facility, before
				  a State grant is expended.
C.
				  Community Development Block Grants. Community development block grants are
				  considered as local matching funds and are not considered as federal grant
				  funds.
D. Limits on State Grant.
(1) For a project without federal
				  participation, a State grant may not be more than:
(a) 50 percent of eligible costs, unless the
				  project is approved for poverty funding; or
(b) 75 percent of eligible costs, if a
				  project is approved for poverty funding.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.02 - Construction Funds for Public and Nonprofit Community Mental Health, Addiction, and Developmental Disabilities Facilities › Section 10.08.02.08 - Use of Funds for Site Acquisition and Renovation

Current through Register Vol. 51, No. 14, July 12, 2024
A. If the applicant is using both State funds
				  and federal grant funds for site acquisition and renovation, then at least two
				  State-approved appraisers shall determine that portion of the total cost
				  applicable to the land site alone. The Department shall exclude this cost from
				  State participation.
B. If the
				  applicant is acquiring a site with existing improvements and renovating the
				  improvements for use as a community mental health, addiction, or developmental
				  disabilities facility, and if the applicant will not be using a federal grant,
				  then the total project costs, including costs applicable to the acquisition of
				  this site and existing improvements, are eligible for State
				  participation.
C. In the
				  circumstances outlined in §B of this regulation, at least two
				  State-approved appraisers shall make an estimate of the market value of the
				  site and existing improvements. State participation shall be limited to the
				  lesser of the value approved by the Department of General Services based upon
				  the appraisals or actual acquisition cost.
D. If an applicant proposes to acquire a land
				  site on which to construct a facility, the cost of the land is not eligible for
				  State participation.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.02 - Construction Funds for Public and Nonprofit Community Mental Health, Addiction, and Developmental Disabilities Facilities › Section 10.08.02.09 - Residual Requirements of the Grantee

Current through Register Vol. 51, No. 14, July 12, 2024
A. Annual Requirements.
(1) For a period of 30 years following the
				  completion of construction or renovation, or the acquisition of a facility
				  involving the State grant funds in this chapter, a grantee shall file a written
				  statement annually with the Department containing the following material:
(a) The number of personnel employed at the
				  facility, by occupation, and all remunerations, retainers, perquisites, and
				  expenses currently paid;
(b) Fees
				  or retainers paid directly or under contract to consultants and other persons
				  rendering services at the facility;
(c) A current, certified, audited
				  profit-and-loss statement and balance sheet for the facility;
(d) Rates and fees charged for services
				  provided at the facility;
(e) Gifts
				  or endowments received during the current year;
(f) Volume of service at the facility, such
				  as the days of service rendered to inpatient clients, the number of day program
				  clients and the number of days of service, or the number of outpatient clients
				  and outpatient visits; and
(g)
				  Other supplemental information required by the Secretary.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.02 - Construction Funds for Public and Nonprofit Community Mental Health, Addiction, and Developmental Disabilities Facilities › Section 10.08.02.10 - Right of Recovery

Current through Register Vol. 51, No. 14, July 12, 2024
In the event of default under the terms of the Act and this
					 chapter, a facility financed pursuant to this chapter is subject to the State's
					 right of recovery as set forth in the Act.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.03 - Construction Funds for Public and Nonprofit Adult Day Care Centers › Section 10.08.03.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
A. These
				  regulations govern the administration of State grant funds to counties,
				  municipal corporations, and nonprofit organizations for conversion,
				  acquisition, renovation, equipping, and construction of adult day care centers
				  under the Adult Day Care Centers Loan Act of 1987, Health-General Article,
				  §§24-701 -24-707, Annotated Code of Maryland.
B. These regulations do not supersede,
				  terminate, or abrogate the residual requirements of prior regulations adopted
				  in accordance with the previous Acts which provided funds for these same
				  purposes. The terms of the prior regulations, to the extent they conflict with
				  these regulations, shall continue to govern the administration of funds for
				  public and nonprofit facilities which receive, or have received, State grant
				  funds authorized by Acts of years before 1991.
C. It is the intent of the Department that
				  State grant funds be used:
(1) To assist
				  eligible applicants with the conversion, acquisition, renovation, equipping,
				  and construction of adult day care center facilities, eligible under the Act in
				  accordance with these regulations; and
(2) After the applicant has secured all funds
				  available from other sources.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.03 - Construction Funds for Public and Nonprofit Adult Day Care Centers › Section 10.08.03.03 - Eligibility of Applicant for State Grant Funds

Current through Register Vol. 51, No. 14, July 12, 2024
A. To be eligible for State grant funds under
				  the Act, an applicant shall:
(1) Be a county,
				  municipal corporation, or a nonprofit organization;
(2) Be eligible for licensing under COMAR
				  10.12.04;
(3) Have relevant
				  experience providing related health or human services;
(4) Be recommended by the Medical Care Policy
				  Administration as a project conforming to the Administration's 5-year plan for
				  these services;
(5) Complete a
				  feasibility study as specified and approved by the Medical Care Policy
				  Administration;
(6) Certify that
				  the proposed facility will meet the handicap-accessibility requirements of
				  COMAR 10.12.04 and 42 U.S.C.
				  §
												12101 et seq.;
(7) Be eligible for certification, and agree
				  to participate in Title XVIII and Title XIX of the Social Security Act, if
				  applicable; and
(8) Be approved by
				  the Secretary to receive a grant award.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.03 - Construction Funds for Public and Nonprofit Adult Day Care Centers › Section 10.08.03.04 - Application Procedure

Current through Register Vol. 51, No. 14, July 12, 2024
A. An
				  applicant shall apply for a grant to be used for conversion, acquisition,
				  renovation, purchase of capital equipment, and construction by filing an
				  application with the Department on a form provided by the Department.
B. An applicant shall direct the application
				  for State grant funds to the Office of Capital Planning, Budgeting, and
				  Engineering Services.
C. The
				  Department shall provide notice and information to the State Clearinghouse for
				  intergovernmental review in accordance with COMAR 14.24.04.
D. The applicant shall comply with the
				  application procedures in effect at the time of application, as prescribed by
				  applicable federal and State regulations, including COMAR 10.12.04.
E. At the time of filing the application, and
				  before the authorization of an award of State grant funds, the applicant shall
				  file a written statement with the Department containing the following material:
(1) Current or intended program of
				  services;
(2) The number of
				  personnel employed or to be employed at the facility, by occupation, and all
				  perquisites, salaries, and any other funds paid, or to be paid, to these
				  personnel;
(3) Expenses incurred or
				  to be incurred in carrying out qualified facility operations;
(4) Schedule of rates charged or to be
				  charged for services rendered at the facility;
(5) Agreement to admit persons on the basis
				  of their need for services without regard to race, national origin, color,
				  disability, or religion, and to define clearly proposed limitations, if any,
				  regarding age groups, level of functional impairment, or disability;
(6) If a facility is currently operating, a
				  certified, audited profit-and-loss statement and balance sheet for the most
				  current year; and
(7) If the
				  applicant is applying for poverty funding under Regulation .06F of this
				  chapter, an agreement that the majority of the persons served by the applicant
				  shall be poverty-designated clients, as defined in Regulation .06F of this
				  chapter, for each year for a period of 30 years following the completion or
				  acquisition of the facility.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.03 - Construction Funds for Public and Nonprofit Adult Day Care Centers › Section 10.08.03.05 - Priority of Awards

Current through Register Vol. 51, No. 14, July 12, 2024
The Department shall determine the priority of applicants
					 to be awarded State grant funds after consideration of:
A. All eligible applications;
B. The 5-year plan of the Medical Assistance
				  Policy Administration for these services;
C. Priorities as established by the
				  Department;
D. The reasonableness
				  of the projected capital, and operating costs and revenues, for the
				  facility;
E. The availability of
				  State grant funds;
F. The total of
				  unallocated State grant funds available at the time the application is
				  received; and
G. The readiness of
				  the project to go before the Board of Public Works.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.03 - Construction Funds for Public and Nonprofit Adult Day Care Centers › Section 10.08.03.06 - Grant Limitations and Provisions

Current through Register Vol. 51, No. 14, July 12, 2024
A. The provisions of these regulations apply
				  to applicants for grants under the Act.
B. Alternative Public Building. State funds
				  may be used to acquire an existing building or part of a building for use as an
				  adult day care center, or to plan, design, and construct an adult day care
				  center, only if the local government and the Department certify to the Board of
				  Public Works that a surplus school building or other public building
				  appropriate for use as an adult day care center does not exist in the area
				  where it is desired to locate a center.
C. Use of Federal Grants. Any federal grants
				  available for a project shall be applied first to the cost of the project,
				  before a State grant is expended.
D. Community Development Block Grants.
				  Community development block grants are considered as local matching funds and
				  are not considered as federal grant funds.
E. Limits on State Grant.
(1) For a project without federal
				  participation, a State grant may not be more than:
(a) 50 percent of eligible costs, unless the
				  project is approved for poverty funding; or
(b) 75 percent of eligible costs, if a
				  project is approved for poverty funding.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.03 - Construction Funds for Public and Nonprofit Adult Day Care Centers › Section 10.08.03.07 - Use of Funds for Site Acquisition and Renovation

Current through Register Vol. 51, No. 14, July 12, 2024
A. If the applicant is using both State funds
				  and federal grant funds for site acquisition and renovation, then at least two
				  State-approved appraisers shall determine that portion of the total cost
				  applicable to the land site alone. The Department shall exclude this cost from
				  State participation.
B. If the
				  applicant is acquiring a site with existing improvements and renovating the
				  improvements for use as an adult day care center, and if the applicant will not
				  be using a federal grant, then the total project costs, including costs
				  applicable to the acquisition of this site and existing improvements, are
				  eligible for State participation.
C. In the circumstances outlined in §B
				  of this regulation, at least two State-approved appraisers shall make an
				  estimate of the market value of the site and existing improvements. State
				  participation is limited to the lesser of the value approved by the Department
				  of General Services based upon the appraisals or actual acquisition
				  cost.
D. If an applicant proposes
				  to acquire a land site on which to construct a facility, the cost of the land
				  is not eligible for State participation.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.03 - Construction Funds for Public and Nonprofit Adult Day Care Centers › Section 10.08.03.08 - Residual Requirements of the Grantee

Current through Register Vol. 51, No. 14, July 12, 2024
A. Annual Requirements.
(1) For a period of 30 years following the
				  completion of conversion, acquisition, renovation, capital equipping, or
				  construction of an adult day care center involving the State grant funds in
				  this chapter, a grantee shall file a written statement annually with the
				  Department, containing the following material:
(a) The number of personnel employed at the
				  facility, by occupation, and all remunerations, retainers, perquisites, and
				  expenses currently paid;
(b) Fees
				  or retainers paid directly or under contract to consultants and other persons
				  rendering services at the facility;
(c) A current, certified, audited
				  profit-and-loss statement and balance sheet for the facility;
(d) Rates and fees charged for services
				  provided at the facility;
(e) Gifts
				  or endowments received during the current year;
(f) Volume of service at the adult day care
				  center, such as days of service rendered to clients; and
(g) Other supplemental information required
				  by the Secretary.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.03 - Construction Funds for Public and Nonprofit Adult Day Care Centers › Section 10.08.03.09 - Right of Recovery

Current through Register Vol. 51, No. 14, July 12, 2024
In the event of default under the terms of the Act and this
					 chapter, an adult day care center financed pursuant to this chapter is subject
					 to the State's right of recovery as set forth in the Act.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.04 - Construction Funds for Public and Nonprofit Assisted Living Facilities › Section 10.08.04.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
A. This chapter
				  governs the administration of State grant funds to counties, municipal
				  corporations, and nonprofit organizations for conversion, acquisition,
				  renovation, equipping, and construction of assisted living facilities under the
				  Assisted Living Facilities Grant Program, Health-General Article,
				  §§24-1001 -24-1007, Annotated Code of Maryland.
B. It is the intent of the Department that
				  State grant funds be used:
(1) To assist
				  eligible applicants with the conversion, acquisition, renovation, equipping,
				  and construction of assisted living facilities, eligible under the Act in
				  accordance with this chapter; and
(2) After the applicant has secured all funds
				  available from other sources.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.04 - Construction Funds for Public and Nonprofit Assisted Living Facilities › Section 10.08.04.03 - Use of State Grant Funds

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  State grant funds for assisted living facilities may be used for the following:
(1) The conversion of public buildings or
				  parts of buildings;
(2) The
				  acquisition of existing buildings or parts of buildings;
(3) The renovation of assisted living
				  facilities;
(4) The purchase of
				  initial capital equipment; or
(5)
				  The plan, design, and construction of an assisted living facility.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.04 - Construction Funds for Public and Nonprofit Assisted Living Facilities › Section 10.08.04.04 - Eligible Applicants for State Grant Funds

Current through Register Vol. 51, No. 14, July 12, 2024
To be eligible to apply for State grant funds under the
					 Act, an applicant shall:
A. Be a
				  county, municipal corporation, or a nonprofit organization;
B. Sponsor a project involving work specified
				  in Regulation .03A of this chapter;
C. Have relevant experience providing related
				  health or human services or provide evidence of intent to contract with a
				  provider of assisted living services; and
D. Certify that the proposed facility will
				  meet the handicap-accessibility requirements of COMAR 10.07.14 and
				  42 U.S.C. §
											12101 et seq., or provide a certified waiver
				  from the Department of Housing and Community Development.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.04 - Construction Funds for Public and Nonprofit Assisted Living Facilities › Section 10.08.04.05 - Application Procedure

Current through Register Vol. 51, No. 14, July 12, 2024
A. An
				  applicant shall apply for a State grant by filing an application with the
				  Department on a form provided by the Department, and shall direct the completed
				  application for State grant funds to the Office of Capital Planning, Budgeting,
				  and Engineering Services.
B. The
				  Department shall provide any notice and information to the State Clearinghouse
				  for intergovernmental review that may be required under COMAR
				  14.24.04.
C. The applicant shall
				  comply with all applicable federal and State laws and regulations in effect at
				  the time of application, including COMAR 10.07.14.
D. At the time of filing the application, the
				  applicant shall file a written statement with the Department containing the
				  following material:
(1) Current or intended
				  program of services;
(2) The number
				  of personnel employed or to be employed at the facility, by occupation, and all
				  perquisites, salaries, and any compensation paid, or to be paid, to the
				  personnel;
(3) Expenses incurred,
				  or to be incurred, in carrying out qualified facility operations;
(4) Schedule of rates charged, or to be
				  charged, for services rendered at the facility;
(5) Agreement to admit eligible persons on
				  the basis of their need for services without regard to race, religion, national
				  origin, color, or disability;
(6)
				  If an applicant is currently operating, a certified, audited profit-and-loss
				  statement and balance sheet for the most recent year; and
(7) If the applicant is applying for poverty
				  funding under Regulation .08D of this chapter, an agreement that the majority
				  of the individuals served by the applicant will be poverty-designated clients,
				  as defined in Regulation .08D(2) of this chapter, for each year for a period of
				  30 years following the completion or acquisition of the facility.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.04 - Construction Funds for Public and Nonprofit Assisted Living Facilities › Section 10.08.04.06 - Amount of State Grant Awards

Current through Register Vol. 51, No. 14, July 12, 2024
The Department shall determine the amount of the State
					 grant for an applicant's project after consideration of the following:
A. All eligible applications;
B. Priorities of need as established by the
				  Department;
C. The total
				  unallocated State funds available in the Department's Administration-Sponsored
				  Capital Programs for Assisted Living at the time the application is
				  received;
D. The projected amount
				  of anticipated appropriations as provided in the Governor's 5-Year Capital
				  Improvement Program;
E. The
				  reasonableness of the total cost of the project; and
F. Current operating costs or the
				  reasonableness of a projected budget and revenues for the facility.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.04 - Construction Funds for Public and Nonprofit Assisted Living Facilities › Section 10.08.04.07 - Recommendation of State Grant Awards

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Department shall determine whether the
				  approved application is to be recommended to the Board of Public Works for
				  award of State grant funds after consideration of the following:
(1) The availability of State grant
				  funds;
(2) The receipt of
				  satisfactory evidence from the applicant of the following requirements:
(a) Sufficient total financial contribution
				  to complete the project;
(b)
				  Control of site, such as deed or lease;
(c) Compliance with applicable local zoning
				  requirements;
(d) Certification
				  that the project site is located in a State-approved Smart Growth
				  area;
(e) Certified bid tabulation,
				  construction contract, contract of sale, or 30-year lease agreement with
				  landlord, contingent on Board of Public Works approval; and
(f) Compliance with all other applicable
				  provisions of State or federal law; and
(3) Whether the local government has
				  certified to the Department that a surplus public building appropriate for use
				  as an assisted living facility does not exist in the area in which the facility
				  is to be located, if a new building is to be constructed.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 08 - HEALTH FACILITIES GRANTS › Chapter 10.08.04 - Construction Funds for Public and Nonprofit Assisted Living Facilities › Section 10.08.04.08 - Grant Limitations and Provisions

Current through Register Vol. 51, No. 14, July 12, 2024
A. Use of Federal Grants and Other Grants.
(1) Any federal or other grant that is
				  received for an eligible project shall be applied first to the cost of the
				  project.
(2) All other sources of
				  funds shall be expended before the State grant is expended on an approved
				  project.