Md. Code Regs. 10.09.78.01

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.09.78.01 - Definitions

A. The following terms have the meanings indicated.

B. Terms Defined.

(1) "Department" means the Maryland Department of Health, the single State agency designated to administer the Maryland Medical Assistance Program under Title XIX of the Social Security Act, 42 U.S.C. §§ 1396 et seq.

(2) "Evidence-based home visiting model" means a voluntary early childhood strategy program that includes focused, individualized, and culturally competent services for expectant parents, young children, and their families designed to enhance parenting and promote the growth and development of young children.

(3) "Home" means the program participant's place of service in a community setting defined by the evidence-based home visiting models.

(4) "Home visiting program" means the organization or entity accredited by an evidence-based home visiting model to provide home visiting services under that model.

(5) "Home visiting services" means services provided during the prenatal and postpartum periods in the program participant's home by the home visiting program, including but not limited to:

(a) Pregnancy education;

(b) Child development education;

(c) Diet and nutritional education;

(d) Stress management;

(e) Sexually transmitted diseases (STD) prevention education;

(f) Tobacco use screening and cessation education;

(g) Alcohol and other substance misuse screening and counseling;

(h) Depression screening;

(i) Postpartum depression education;

(j) Domestic and intimate partner violence screening and education;

(k) Breastfeeding support and education;

(l) Guidance and education with regard to well woman visits to obtain recommended preventive services;

(m) Maternal-infant safety assessment and education;

(n) Counseling regarding postpartum recovery, family planning, and needs of a newborn;

(o) Assistance for the family in establishing a primary source of care and a primary care provider;

(p) Parenting skills, parent-child relationship building, and confidence building;

(q) Child developmental screening at major developmental milestones from birth to two years old;

(r) Facilitation of access to community or other resources that can improve birth-related outcomes such as:

(i) Transportation;

(ii) Housing;

(iii) Alcohol, tobacco, and drug cessation; and

(iv) WIC, SNAP, and intimate partner violence resources;

(s) Monitoring for high blood pressure or other complications of pregnancy; and

(t) Medical assessment of the postpartum mother and infant.

(6) "Medically necessary" means that the service or benefit is:

(a) Directly related to diagnostic, preventive, curative, palliative, rehabilitative, or ameliorative treatment of an illness, injury, disability, or health condition;

(b) Consistent with current accepted standards of good medical practice;

(c) The most cost-efficient service that can be provided without sacrificing effectiveness or access to care; and

(d) Not primarily for the convenience of the consumer, family, or provider.

(7)"Postpartum period" means the period that begins immediately after childbirth up to a period of time following childbirth as defined by the evidence-based home visiting model.

(8) "Prenatal period" means the developmental period between conception and birth.

(9) "Program" means the Maryland Medical Assistance Program.

(10) "Program participant" means one of the following individuals enrolled in the evidence-based home visiting model:

(a) Birthing parent;

(b) Infant;

(c) Child up to the age permitted under the evidence-based home visiting model; or

(d) Other individuals, as recognized under the evidence-based home visiting model.

(11) "Provider" means a qualified individual licensed or certified to deliver home visiting services as a part of an evidence-based home visiting model.

Md. Code Regs. 10.09.78.01

Regulation .01 repealed effective 47:10 Md. R. 515, eff. 5/18/2020; amended effective 49:1 Md. R. 13, eff. 1/13/2022