Maryland Code, Health-General § 7-606

(a)(1) If the Board of Public Works approves the site that has been chosen by the Secretary, on a default by a county or counties, the State may:

1. The State plan;

2. The regulations issued under § 7-904 of this title relating to community-based residential services; and

3. The program accessibility requirements of the federal regulations (45 C.F.R. §§ 84.21 through 84.23).

(2) Before acquiring the site, the Secretary shall give the governing body for the county where the site is located and the community around the site notice of the intention of the State to acquire and improve the site.

(1) A private, nonprofit person, on terms and conditions as the Secretary approves; or

(2) The State as a provider of last resort on an interim basis until a suitable private operator can be found.