BOARD NEWS
Assisted Living Manager License
NEW UPDATES
On Monday, April 20, 2026, the online application portal was launched for Assisted Living Managers (ALM) to apply for licensure.
The licensing requirements for ALM Applicants I and II and access to the online application portal are located at the following link: Apply for a License
Important Note: ALM Applicants I and II are only required to attest to the completion of the trainings and certifications listed below on their online application. Both Applicants I and II are not required to submit physical evidence of completion to the Board.
However, as required by law, assisted living programs must maintain documentation of required trainings and certifications for each staff member within personnel records.
- Basic First Aid certification (from nationally recognized organization)
- Licensed Practical Nurses (LPNs) and Registered Nurses (RNs) who are licensed in the State of Maryland are not required to provide attestation of basic first aid certification. However, they must attest to holding an active Maryland LPN or RN license as part of this process.
- Basic CPR certification (including hands-on component)
- Fire and life safety training
- Infection control training (including standard precautions)
- Emergency disaster planning training
- Basic food safety training
The list of required trainings and certifications must be completed before you attest to their completion on your online application.
You should refer to the licensing requirements for more detailed information.
All ALM applicants are required to undergo a State and national/FBI criminal history records check in accordance with the Health Occupations Article, §9-302.1, Annotated Code of Maryland.
Individuals should refer to the Criminal History Records Check (CHRC) page on our website for the Board’s Authorization Number, Originating Agency Identifier (ORI) number, required forms, and additional information. The link to the webpage is: CHRC
This requirement must be completed before you attest to its completion on your online application.
There is no waiver of this requirement for anyone who has previously completed a criminal history records check for another Maryland Health Occupation license.
Important CHRC Note: The "Applicant Record Notification" form is no longer required to submit to the Board. Applicants are only required to submit the "Privacy Act Statement and Noncriminal Justice Applicant's Privacy Rights" form.
BACKGROUND:
Pursuant to HB 1034/SB 720 (2022) and HB 874, all assisted living managers must be licensed by the Board to practice in Maryland effective July 1, 2026. The Board serves as the licensing authority mandated to protect the public by regulating the practice, enforcing statutes, and overseeing disciplinary actions.
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New Board Regulations
The State Board of Long-Term Care Administrators (BLTCA) is pleased to announce that regulations 10.33.01 - 10.33.08 were finalized in the Maryland Register on January 19, 2026. To access the most current Board statute and COMAR 10.33.01 - 10.33.08, please refer to:
Board Statute and Regulations
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License Renewals: Implicit Bias and Structural Racism Training Requirements
Pursuant to the Implicit Bias and Structural Racism Bill (HB 783), effective October 1, 2025, and in accordance with COMAR 10.33.02.09D, 10.33.02.10A(1), and 10.33.02.11C(1)(b), all licensees and individuals seeking license renewal, reinstatement, or reactivation must complete an approved implicit bias and structural racism training program. This requirement applies to an applicant's first renewal occurring after April 1, 2026. This is a one-time only requirement.
Click here for more information and available resources for Implicit Bias and Structural Racism Training for Healthcare Professionals.
You may attest to completing both requirements if your implicit bias course includes a structural racism component.
The online license renewal application will have one checkbox to attest to completing the Implicit Bias Training AND Structural Racism Training. Upon completion of these one-time requirements, you may check the box for subsequent renewals .
If you are seeking to satisfy the 40-hour continuing education (CE) requirement, visit the National Association of Long Term Care Administrator Boards (NAB) website at: NAB
Please be advised that while the NAB CE database contains several implicit bias courses, it does not currently list any structural racism training courses.
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National Association of Long Term Care Administrator Boards (NAB) Updates
Effective January 1, 2026, to protect exam integrity, NAB will limit the number of times a candidate may attempt the CORE and NHA exams to up to 4 attempts during an examination cycle (July 1 - June 30). These limits apply to all candidates testing on or after January 1, 2026. The attempt count resets each July 1. If you have questions or need more details, please contact the NAB office.
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Online Application Portal for Nursing Home Administrators
Effective September 16, 2024, an Online Application Portal was launched only for nursing home administrators applicants to complete an initial application, submit required documents, and pay applicable board fees online for the following types of applications for licensure:
If any of the above applications are submitted to the Board via email or U.S. mail, it will not be accepted and applicants will be directed to apply through the online application portal.
New Users/Applicants: APPLY FOR A LICENSE
Returning Users: ONLINE APPLICATION
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Online Payment Center
Effective June 1, 2024, the Board transitioned to an online payment center; therefore, the Board no longer accepts checks or money orders. The following board fees must be paid by credit or debit card via the online payment center:
To access the online payment center: ONLINE PAYMENT CENTER
