Provider Information - Licensure
The Office of Health Care Quality licenses assisted living programs and oversees the quality of services provided to residents. Prior to operating an Assisted Living Program in Maryland, the program must first obtain an Assisted Living Program license from OHCQ. The first step in the licensure process is to complete the licensure application. The application must be typed. In order to complete the application, please download a copy to your device. Adobe Acrobat, Adobe Reader or another *.PDF application are required to complete the application. It is recommended that you save your progress throughout the process. Handwritten applications are not accepted and will be returned to the applicant. Submit the completed application and all required attachments to OHCQ via the Submit a License Application link.
Requests Related to Licensure
Licensed assisted living providers use the forms below to make requests related to licensure:
Report Changes Related to AL Staff
Licensed assisted living providers use the forms below to report changes related to contact information for Assisted Living Managers (ALM), Alternate Assisted Living Managers (AALM), and Delegating Nurses:
Report an Assisted Living Employee Who Becomes a Rep Payee
COMAR 10.07.14.35 requires that an Assisted Living Program must report to OHCQ each time an employee of the ALP becomes the representative payee (rep payee) of a resident. Complete and submit this form to OHCQ every time an employee of your ALP becomes a representative payee for a resident.
Report an Assisted Living Violation
Per COMAR 10.07.14.08, an Assisted Living Program must forward to the OHCQ a copy of any report or citation of a violation of any applicable building codes, sanitary codes, fire safety codes, or other regulations affecting the health, safety, or welfare of residents within 7 days of receipt of the report or citation. Complete and submit the
Report an Assisted Living Permit Violation form to OHCQ.
New Provider Orientation
Registration is now open for the Assisted Living Program in-person training session scheduled for January 14, 2026 from 10:00am - 12:00pm.
Crestpointe Conference Center
7110 Samuel Morse Drive
1st Floor
Columbia, MD 21046-3422
*PLEASE NOTE* - Due to space limitations at the training center, attendance is limited to (50) participants.
If you have any questions or concerns, please call (410) 402-8217 or email [email protected]
Resident Bill of Rights
Forms
Forms Related to Licensure:
- Assisted Living Uniform Disclosure Statement Form PDF WORD
- Assisted Living Sample Resident Agreement Form PDF
- Licensure Standards Waiver Application PDF WORD
- Resident Specific Level of Care Waiver Application PDF WORD
- Alzheimer’s Special Care Unit Disclosure Form PDF
Other Forms:
- Health Care Practitioner Physical Assessment PDF WORD
- Assisted Living Manager’s Assessment PDF WORD
- Assisted Living Level of Care Scoring Guide PDF WORD
- Using the AL Assessment Tool and Level of Care Scoring Guide PDF
- Service Plan July 2013 (Transmittal AL-13-0001) PDF WORD
- *UPDATED* - DN Assessment RAT July 2025 PDF WORD
Examples of Forms (other formats are acceptable):- Emergency Preparedness Forms PDF
- Comprehensive Nursing Assessment June 2012 PDF WORD
- 45 Day Nursing Assessment June 2012 PDF WORD
- Wound Assessment Form PDF WORD
- Sample Weekly Care Notes PDF
- Sample Controlled Medication Record PDF
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