1. A. Practice Site Transfer.

   1. (1) The Department may consider practice site transfer requests during a participant’s service obligation period.
   2. (2) A participant shall submit a site transfer request to the Department for consideration and receive approval of the site transfer from the Department prior to a participant’s separation from an approved practice site.
   3. (3) A site transfer request may not be submitted until the second service obligation year.
2. B. The Department may consider deferment of a participant’s service obligation or payment obligation for up to 1 year if determined by the Department that compliance by the participant with the terms and conditions of the Service Obligation Agreement would involve extreme hardship as evidenced through documentation provided to the Department.
3. C. Any request by a participant for service obligation amendments shall follow the written process and procedures as established by the Department in subregulatory guidance.
4. D. A decision made by the Department upon request for a service obligation amendment shall be final.

5. E. The Department may consider cancellation of a participant service obligation with evidence under the following circumstances:

   1. (1) Illness or injury that prohibits future possibility of service; or
   2. (2) Death as determined by a death certificate or other conclusive evidence of death under State law.

Authority: Health-General Article, §§24–1901—24-1906, Annotated Code of Maryland

Effective date: March 2, 2026 (53:4 Md. R. 185)