Md. Code Regs. 10.21.10.03

Current through Register Vol. 51, No. 12, June 14, 2024

Section 10.21.10.03 - Approval

A. The Department shall grant approval to providers to be eligible to receive State and federal funds for PRTF waiver services if the provider meets the requirements set forth in this chapter.

B. Application. To provide PRTF waiver services, a provider applicant shall:

(1) Submit an application to the Department;

(2) Submit the application on the form approved by the Department, with all questions answered and all required documents attached; and

(3) Attest that the provider applicant is in compliance with the general provider requirements and specific PRTF waiver service requirements set forth in this chapter and in COMAR 10.09.36.

C. Application Modification.

(1) A provider that proposes to change its PRTF waiver services sites by adding, closing, or moving locations shall submit an application modification, on the form required by the Department, to the Department.

(2) If the Department approves the application modification, the existing provider approval shall extend to the additional site, as applicable.

D. Approval.

(1) The Department may grant approval to an applicant provider, for a period not to exceed 12 months, if the Department determines that the provider:

(a) On the effective date of this chapter, has an existing contract with an existing care management entity under contract with a local management board in a service area;

(b) Has no deficiencies that constitute a threat to the health, safety, or welfare of the individuals served; and

(c) Attests that it complies with the requirements set forth in this chapter, and with the specific service requirements set forth in COMAR 10.09.79.

(2) If the provider is granted approval under §D(1) of this regulation, to continue to be approved, the provider shall, within 12 months, submit documentation of compliance with the requirements set forth in this chapter, and with the specific service requirements set forth in COMAR 10.09.79.

(3) The Department shall grant approval to a provider if the Department determines that the provider applicant meets the requirements set forth in this chapter and the specific service requirements set forth in COMAR 10.09.79.

E. Recertification. The provider is subject to recertification by the Department every 3 years.

F. Sale or Transfer of Approval.

(1) The Department's approval of a PRTF waiver service provider is valid only for the provider to which the Department grants approval.

(2) A provider may not sell, assign, or transfer approval to another provider.

Md. Code Regs. 10.21.10.03