(1) A program applicant shall submit an application on a form prescribed by the department. The application must be complete and accompanied by the appropriate fees and the following documentation:

(a) a detailed description of the program, including but not limited to:

(i) program mission statement;

(ii) program history, including any prior names, locations and ownership;

(iii) all insurance coverages, including workers' compensation;

(iv) professional affiliations;

(v) current educational, athletic, psychological and other services provided;

(vi) all locations and facilities where program services to participants are or will be provided; and

(vii) how and where participants are housed;

(b) a detailed description of the population served by the program;

(c) the contact information for each program, including the person responsible for the conduct of the program;

(d) a list of professional and supervisory employees and relevant credentials and other qualifications;

(e) the expected average daily census during the first calendar year of operations; and

(f) a copy of program policies and procedures, including but not limited to:

(i) admission;

(ii) communication with family members;

(iii) the availability of routine and emergency medical and psychological care;

(iv) medication management;

(v) complaints or grievances; and

(vi) behavior management, including but not limited to:

(A) discipline;

(B) punishment;

(C) consequences;

(D) incentives; and

(E) use of seclusion and/or restraints.

(2) Incomplete applications will be returned. The applicant may correct any deficiencies, complete any requirements necessary for licensure, and resubmit the application to the board office. Failure to resubmit the deficient application within 60 days from the date the notice of deficiency was sent from the board office will be treated as a voluntary withdrawal of the application and all fees will be forfeited.

(3) After withdrawal of an application, the applicant will be required to submit a new application, including supporting documentation and appropriate fees.

(4) Licensure applications submitted to the board will be reviewed by department staff, which may request such additional information as it deems reasonably necessary.

(5) Licensure applications that are deemed complete will be issued a licensure certificate by the department.

(6) A program's licensure is nontransferable.

(7) Programs that are licensed will be listed as being licensed on the Montana state web site.