Md. Code, Health - General § 19–722

(a) The Commissioner may refuse to renew a certificate of authority for any reason for which the Commissioner may:

(1) Refuse to issue an original certificate; or

(2) Suspend or revoke an existing certificate.

(b) If the Commissioner refuses to renew a certificate of authority, the applicant has the same administrative and legal remedies as those provided under this subtitle for the suspension or revocation of a certificate of authority.