Maryland Code § HU-10-408

Section HU-10-408
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(a) A provider shall comply with the applicable provisions of §§ 10-409
through 10-415 of this subtitle before the provider may:
(1) offer continuing care in a retirement community;
(2) enter into or renew continuing care agreements;
(3) begin construction of a new facility;
(4) begin construction of an expansion to or renovation of an existing
facility; or
(5) collect deposits for continuing care in this State.
(b) (1) A new capital addition to a facility that will result in the
construction of a number of independent and assisted living units that is greater than

25% of the number of existing units is considered new development and is subject to
§§ 10-409 through 10-411 of this subtitle.
(2) A new capital addition to a facility that does not involve the
construction of independent or assisted living units and that does not meet the
standard of § 10-401(l)(1)(ii) of this subtitle is not subject to review by the Department
under §§ 10-409 through 10-415 of this subtitle.
(3) A capital improvement or replacement that does not meet the
standard of § 10-401(w) of this subtitle is not subject to review by the Department
under §§ 10-409 through 10-415 of this subtitle.
(c) A provider that has more than one facility offering continuing care shall
make a separate application for each facility for preliminary, initial, and renewal
certificates of registration.

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