Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 21 - MENTAL HYGIENE REGULATIONS › Chapter 10.21.16 - Community Mental Health Programs - Application, Approval, and Disciplinary Processes › Section 10.21.16.04 - Application Process

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Consultation. Before submitting an application, an applicant for approval of a
				  program may request assistance from the Department's designated approval unit
				  or the appropriate core service agency (CSA) director regarding the proper
				  compilation of application materials and completion of the
				  application.
B. Lead CSA
				  Determination. For programs providing services in multiple jurisdictions, the
				  Administration, in collaboration with the appropriate CSAs, shall determine the
				  lead CSA.
C. Application. An
				  applicant for approval of a program shall:
(1)
				  Submit an application to the Department's designated approval unit;
(2) Submit the application on the written or
				  electronic form approved by the Department, with all questions answered and all
				  required documents attached;
(3)
				  Include in the application, at a minimum, the following information:
(a) Documentation of the applicant's program
				  service plan, as outlined in Regulation .05 of this chapter;
(b) A written business plan that clearly
				  demonstrates the program's ability to provide services in accordance with
				  applicable Maryland regulations and Medicaid and Medicare funding
				  requirements;
(c) Information to
				  demonstrate the program's financial viability, including, but not limited to:
(i) Salary structure;
(ii) Client mix;
(iii) Anticipated administrative
				  expenses;
(iv) Necessary cash
				  reserves to maintain the program during the start-up phase and a financial
				  crisis;
(v) Identification of the
				  individual responsible for providing the required financial information;
				  and
(vi) Other information deemed
				  necessary by the Department;
(d) A summary of the program's demonstrated
				  experience in the field of mental health;
(e) Prior licensing reports issued within the
				  previous 10 years from any in-State or out-of-State entities associated with
				  the program, including deficiency reports and compliance records from which the
				  Department may make reasoned decisions about the qualifications of the
				  program;
(f) Disclosure of:
(i) Any license or approval revocation within
				  the previous 10 years by the Department or other licensing agency;
(ii) Whether the program, or corporation or
				  entity associated with the program, has surrendered or defaulted on its license
				  or approval for reasons related to disciplinary action, within the previous 10
				  years; and
(iii) Any corporate
				  officer who has served as a corporate officer for a corporation or entity that
				  has had a license revoked, or has surrendered or defaulted on its license or
				  approval for reasons related to disciplinary action within the previous 10
				  years;
(g) A written
				  quality assurance plan that addresses how the organization will ensure the
				  health and safety of the individuals served by the program and the quality of
				  services provided to individuals by the program; and
(h) For
				  26 U.S.C. §
													501(c)(3) organizations, a
				  statement of how the organization intends to satisfy its charitable mission;
				  and
(4) Forward a copy
				  of the:
(a) Completed application to the:
(i) CSA of the jurisdiction where the program
				  services are to be delivered; or
(ii) For programs providing services in
				  multiple jurisdictions, lead CSA identified under §B of this regulation;
				  and
(b) Application
				  cover letter to the Administration and all CSAs of the jurisdictions where the
				  program plans to deliver services.