Residential Service Agency Initial Licensure Application - Dhmh - dhmh maryland 2025

Get Form
rsa license maryland Preview on Page 1

Here's how it works

01. Edit your rsa license maryland online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send rsa application maryland via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Residential Service Agency Initial Licensure Application - Dhmh - dhmh maryland with Our Platform

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open the Residential Service Agency Initial Licensure Application in our editor.
  2. Begin by filling in the official name of your agency, trading name, and address. Ensure accuracy as this information is crucial for your application.
  3. Complete the contact details including business phone number, email address, and emergency contact number. This ensures OHCQ can reach you if needed.
  4. Select the level of care your agency will provide by checking the appropriate box. This section is vital for determining your agency's operational scope.
  5. Attach the required non-refundable application fee of $500. Make sure to follow payment instructions carefully to avoid delays.
  6. Review all sections thoroughly before submitting. Use our platform’s features to save and edit your application as needed.

Start using our platform today to streamline your application process for free!

See more Residential Service Agency Initial Licensure Application - Dhmh - dhmh maryland versions

We've got more versions of the Residential Service Agency Initial Licensure Application - Dhmh - dhmh maryland form. Select the right Residential Service Agency Initial Licensure Application - Dhmh - dhmh maryland version from the list and start editing it straight away!
Versions Form popularity Fillable & printable
2011 4.5 Satisfied (39 Votes)
be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
In order to open a residential service agency in Maryland, an RSA applicant needs to apply for an RSA license from the Maryland Department of Healths Office of Health Care Quality (OHCQ), Marylands licensing and certification agency for health facilities.
0:36 1:25 So this is what makes Maryland. Unique we have RSAs or residential service agencies it is a businessMoreSo this is what makes Maryland. Unique we have RSAs or residential service agencies it is a business that employs or contracts individuals with at least one home care home health care services for
To earn social work licensure in Maryland, each aspiring LMSW must complete: Master of social work (MSW) degree from a CSWE-accredited program. Official transcripts. Criminal background check. ASWB master exam (for licensure by endorsement) $100 application fee and $75 initial license fee.
Obtaining an RSA License Visit the OHCQ Programs webpage and select Residential Service Agency. This webpage provides important information for those seeking an RSA license. You will find COMAR 10.07. 05 Residential Service Agency regulations, as well as the RSA license application form with instructions at that site.
🔹 RSA Skilled Nursing and Aides Requires RN supervision Includes personal care, ADLs, and skilled nursing 3 License Levels:Level 1: ADLs + med reminders (no administration)Level 2: ADLs + med administration (CMT/LPN under RN)Level 3: Complex care (e.g., IV, trach, ventilator) by RN/LPN✅ Levels 2 3 are eligible for
be ready to get more

Complete this form in 5 minutes or less

Get form