1. A. A designated trauma or specialty referral center, other than a designated adult or pediatric burn center, shall repeat the designation process, as set forth in this chapter, every 5 years.

2. B. A designated adult or pediatric burn center shall:

   1. (1) Complete the reverification process every 3 years; and

   2. (2) If verified by the American Burn Association:

      1. (a) Concurrently submit to MIEMSS the application submitted to the American Burn Association, along with such supplements as may be required by MIEMSS to demonstrate compliance with COMAR 30.08.06; and
      2. (b) Notify MIEMSS immediately of any change in their verification status.

3. C. At MIEMSS’ discretion:

   1. (1) MIEMSS may accept verification of a trauma or specialty referral center by a nationally recognized medical specialty organization in lieu of conducting an on-site reverification review;
   2. (2) MIEMSS may determine that there is sufficient data available to MIEMSS concerning the ongoing operation of the trauma or specialty center so that an on-site review is not necessary for a determination of reverification; or
   3. (3) MIEMSS may conduct an on-site review for reverification with MIEMSS staff and representatives, if any, from among the categories required for an initial designation site-review team as MIEMSS deems appropriate.

4. D. If a designated trauma or specialty referral center is in good standing:

   1. (1) MIEMSS shall send written notice to the chief executive officer of the trauma or specialty referral center requesting that the trauma or specialty referral center submit, within 60 calendar days, a request for reverification of its designation status; and
   2. (2) Designated trauma or specialty referral center shall retain its current designation status until the reverification process is completed.

5. E. At the time of the reverification process, MIEMSS shall publish a notice in the Maryland Register that:

   1. (1) Lists the trauma and specialty referral centers that have requested reverification of their designation status;
   2. (2) Requests a person with knowledge of any reason why a designated trauma or specialty referral center should not have its designation status reverified to submit a written statement of the reason to MIEMSS within 20 business days following publication of the notice; and
   3. (3) Requests that a hospital not designated that wishes to be considered for designation as a trauma or specialty referral center submit a written application to the Office of Hospital Programs in accordance with Regulation .03 of this chapter within 60 calendar days following publication of the notice.

Authority: Education Article, §13-509, Annotated Code of Maryland

Effective date: March 24, 1997 (24:6 Md. R. 488)

Regulations .01—.10 amended effective July 1, 2002 (29:12 Md. R. 932)

Regulation .01 amended as an emergency provision effective June 1, 2006 (33:15 Md. R. 1276); amended permanently effective October 23. 2006 (33:21 Md. R. 1678)

Regulation .02D amended as an emergency provision effective June 1, 2006 (33:15 Md. R. 1276); amended permanently effective October 23. 2006 (33:21 Md. R. 1678)

Regulation .03D amended effective October 3, 2011 (38:20 Md. R. 1205)

Regulation .03I amended effective December 19, 2005 (32:25 Md. R. 1947); October 12, 2015 (42:20 Md. R. 1265)

Regulation .04A amended effective October 3, 2011 (38:20 Md. R. 1205)

Regulation .05B amended effective December 19, 2005 (32:25 Md. R. 1947); October 12, 2015 (42:20 Md. R. 1265)

Regulation .07C, G amended effective October 3, 2011 (38:20 Md. R. 1205)

Regulation .10 amended effective October 3, 2011 (38:20 Md. R. 1205); July 1, 2020 (47:5 Md. R. 313)