1. A. Commission staff may, on its own initiative or in response to information provided to the Commission, investigate any State-Designated MSO or applicant for State Designation.

2. B. Following an investigation, the Executive Director may issue a notice of proposed action, which may include the following:

   1. (1) A time-limited opportunity to correct deficiencies identified by the investigation;
   2. (2) Suspension of the State Designation of an MSO for a definite period of time after which, depending upon the circumstances of the case and completion of appropriate corrective actions, the MSO may seek reinstatement of its State Designation; or
   3. (3) Revocation of State Designation.

3. C. An MSO that receives a notice of proposed action from the Executive Director may request an opportunity to show cause why the proposed action should not be implemented. A written request to show cause shall be filed with the Commission within 20 days of the issuance of the notice of proposed action and shall:

   1. (1) State with particularity the grounds and factual basis for the applicant’s disagreement with the denial;
   2. (2) Include each fact upon which the person relies to show cause why the proposed action should not be taken; and
   3. (3) Be supported by relevant documentation and affidavits.

4. D. The Commission may determine whether or not to impose the proposed action or a different action:

   1. (1) After considering the written show cause filing by the MSO and any response by Commission staff; or
   2. (2) After hearing oral arguments on the written filings by the MSO and staff.

Authority: Health-General Article, §§4-302, 19-103(c)(2)(i) and (ii), 19-109(a)(1), 19-135(a), (b), and (d), and 19-143(h), Annotated Code of Maryland

Effective date: November 15, 2010 (37:23 Md. R. 1610)

Regulations .01 — .11 repealed and new Regulations .01 — .08 adopted effective August 18, 2014 (41:16 Md. R. 946)