Statutes, codes, and regulations
Maryland Administrative code
Title 10 - MARYLAND DEPARTMENT OF HEALTHPart 3Subtitle 22 - DEVELOPMENTAL DISABILITIES
Chapter 10.22.17 - Fee Payment System for Licensed Residential and Day Programs
Section 10.22.17.06 - Determination of Individual Component

Md. Code Regs. 10.22.17.06

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Current through Register Vol. 51, No. 26, December 27, 2024
Section 10.22.17.06 - Determination of Individual Component
A. The individual component is for costs the provider incurs in providing direct services to the individual.
B. The Administration shall establish an individual component for new and existing services that is based on the:
(1) Individual indicator rating scale; and
(2) Geographic region in which the service is provided.
C. Individuals who have been receiving services from a provider and who are transferring to a different provider shall retain the individual component established by the Administration.
D. Except as set forth in §C of this regulation, the following apply:
(1) The regional director shall establish a temporary individual component for each service the individual is to receive by taking the average of the individual components for all the individuals served by the provider in the service category;
(2) The provider shall forward the individual information form reflecting the results of the individual indicator rating scale assessment to the regional director within 35 days for approval;
(3) The Administration shall establish a permanent individual component within 6 months based on the approved individual indicator rating scale assessment; and
(4) The permanent individual component shall be retroactive to the date the individual entered service.
E. The geographic regions are as follows:
(1) Region 1 represents Baltimore City, Baltimore County, Anne Arundel County, Harford County, Howard County, Carroll County, and Queen Anne's County;
(2) Region 2 represents Calvert County, Frederick County, Prince George's County, Montgomery County, and Charles County;
(3) Region 3 represents St. Mary's County, Garrett County, Caroline County, Dorchester County, Kent County, Somerset County, Talbot County, Wicomico County, and Worcester County;
(4) Region 4 represents Allegany County;
(5) Region 5 represents Cecil County; and
(6) Region 6 represents Washington County.
F. For purposes of this regulation, levels 1-5 in supervision/assistance and levels 1-5 in health/medical in §G of this regulation represent levels of services needed by individuals as assessed by the individual indicator rating scale.
G. Table of Individual Components Effective July 1, 2019.
(1) Residential Programs.

Region 1 - Baltimore Metro (Baltimore City, Baltimore County, Anne Arundel, Harford, Howard, Carroll, Queen Anne's)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$22.00

$39.38

$67.14

$108.76

$155.95

2

$24.06

$41.45

$69.22

$110.83

$158.00

3

$27.39

$44.77

$72.51

$114.15

$161.32

4

$31.88

$49.27

$77.00

$118.64

$165.81

5

$35.82

$53.21

$80.98

$122.60

$169.76

Region 2 - Washington D.C. Metro (Calvert, Frederick, Prince George's, Montgomery, Charles)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$23.74

$42.49

$72.44

$117.34

$168.25

2

$25.96

$44.72

$74.68

$119.57

$170.47

3

$29.55

$48.30

$78.23

$123.16

$174.05

4

$34.40

$53.16

$83.08

$128.00

$178.89

5

$38.65

$57.41

$87.37

$132.27

$183.15

Region 3 - Rural (St. Mary's, Caroline, Garrett, Dorchester Kent, Somerset, Talbot, Wicomico, Worcester)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$22.00

$39.38

$67.14

$108.76

$155.95

2

$24.06

$41.45

$69.22

$110.83

$158.00

3

$27.39

$44.77

$72.51

$114.15

$161.32

4

$31.88

$49.27

$77.00

$118.64

$165.81

5

$35.82

$53.21

$80.98

$122.60

$169.76

Region 4 - Pittsburgh Metro (Allegany)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$22.00

$39.38

$67.14

$108.76

$155.95

2

$24.06

$41.45

$69.22

$110.83

$158.00

3

$27.39

$44.77

$72.51

$114.15

$161.32

4

$31.88

$49.27

$77.00

$118.64

$165.81

5

$35.82

$53.21

$80.98

$122.60

$169.76

Region 5 - Wilmington Metro (Cecil)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$23.38

$41.86

$71.36

$115.60

$165.76

2

$25.57

$44.06

$73.57

$117.80

$167.94

3

$29.11

$47.59

$77.07

$121.33

$171.47

4

$33.89

$52.37

$81.84

$126.10

$176.24

5

$38.07

$56.56

$86.07

$130.31

$180.44

Region 6 - Hagerstown Metro (Washington)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$22.00

$39.38

$67.14

$108.76

$155.95

2

$24.06

$41.45

$69.22

$110.83

$158.00

3

$27.39

$44.77

$72.51

$114.15

$161.32

4

$31.88

$49.27

$77.00

$118.64

$165.81

5

$35.82

$53.21

$80.98

$122.60

$169.76

(2) Day Programs.

Region 1 - Baltimore Metro (Baltimore City, Baltimore County, Anne Arundel, Harford, Howard, Carroll, Queen Anne's)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$22.47

$26.85

$35.37

$44.12

$61.43

2

$24.80

$29.17

$37.72

$46.48

$63.78

3

$28.59

$32.99

$41.50

$50.26

$67.55

4

$33.72

$38.07

$46.60

$55.38

$72.67

5

$38.22

$42.57

$51.10

$59.87

$77.16

Region 2 - Washington D.C. Metro (Calvert, Frederick, Prince George's, Montgomery, Charles)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$24.24

$28.97

$38.16

$47.60

$66.28

2

$26.76

$31.47

$40.70

$50.15

$68.81

3

$30.85

$35.59

$44.77

$54.23

$72.88

4

$36.38

$41.07

$50.28

$59.75

$78.40

5

$41.24

$45.93

$55.13

$64.59

$83.25

Region 3 - Rural (St. Mary's, Caroline, Garrett, Dorchester Kent, Somerset, Talbot, Wicomico, Worcester)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$22.47

$26.85

$35.37

$44.12

$61.43

2

$24.80

$29.17

$37.72

$46.48

$63.78

3

$28.59

$32.99

$41.50

$50.26

$67.55

4

$33.72

$38.07

$46.60

$55.38

$72.67

5

$38.22

$42.57

$51.10

$59.87

$77.16

Region 4 - Pittsburgh Metro (Allegany)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$22.47

$26.85

$35.37

$44.12

$61.43

2

$24.80

$29.17

$37.72

$46.48

$63.78

3

$28.59

$32.99

$41.50

$50.26

$67.55

4

$33.72

$38.07

$46.60

$55.38

$72.67

5

$38.22

$42.57

$51.10

$59.87

$77.16

Region 5 - Wilmington Metro (Cecil)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$23.88

$28.54

$37.59

$46.90

$65.29

2

$26.36

$31.00

$40.09

$49.40

$67.79

3

$30.39

$35.07

$44.11

$53.42

$71.80

4

$35.84

$40.46

$49.53

$58.86

$77.24

5

$40.62

$45.25

$54.31

$63.64

$82.01

Region 6 - Hagerstown Metro (Washington)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$22.47

$26.85

$35.37

$44.12

$61.43

2

$24.80

$29.17

$37.72

$46.48

$63.78

3

$28.59

$32.99

$41.50

$50.26

$67.55

4

$33.72

$38.07

$46.60

$55.38

$72.67

5

$38.22

$42.57

$51.10

$59.87

$77.16

(3) Supported Employment Programs.

Region 1 - Baltimore Metro (Baltimore City, Baltimore County, Anne Arundel, Harford, Howard, Carroll, Queen Anne's)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$22.47

$26.85

$35.37

$44.12

$61.43

2

$24.80

$29.17

$37.72

$46.48

$63.78

3

$28.59

$32.99

$41.50

$50.26

$67.55

4

$33.72

$38.07

$46.60

$55.38

$72.67

5

$38.22

$42.57

$51.10

$59.87

$77.16

Region 2 - Washington D.C. Metro (Calvert, Frederick, Prince George's, Montgomery, Charles)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$24.24

$28.97

$38.16

$47.60

$66.28

2

$26.76

$31.47

$40.70

$50.15

$68.81

3

$30.85

$35.59

$44.77

$54.23

$72.88

4

$36.38

$41.07

$50.28

$59.75

$78.40

5

$41.24

$45.93

$55.13

$64.59

$83.25

Region 3 - Rural (St. Mary's, Caroline, Garrett, Dorchester Kent, Somerset, Talbot, Wicomico, Worcester)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$22.47

$26.85

$35.37

$44.12

$61.43

2

$24.80

$29.17

$37.72

$46.48

$63.78

3

$28.59

$32.99

$41.50

$50.26

$67.55

4

$33.72

$38.07

$46.60

$55.38

$72.67

5

$38.22

$42.57

$51.10

$59.87

$77.16

Region 4 - Pittsburgh Metro (Allegany)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$22.47

$26.85

$35.37

$44.12

$61.43

2

$24.80

$29.17

$37.72

$46.48

$63.78

3

$28.59

$32.99

$41.50

$50.26

$67.55

4

$33.72

$38.07

$46.60

$55.38

$72.67

5

$38.22

$42.57

$51.10

$59.87

$77.16

Region 5 - Wilmington Metro (Cecil)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$23.88

$28.54

$37.59

$46.90

$65.29

2

$26.36

$31.00

$40.09

$49.40

$67.79

3

$30.39

$35.07

$44.11

$53.42

$71.80

4

$35.84

$40.46

$49.53

$58.86

$77.24

5

$40.62

$45.25

$54.31

$63.64

$82.01

Region 6 - Hagerstown Metro (Washington)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$22.47

$26.85

$35.37

$44.12

$61.43

2

$24.80

$29.17

$37.72

$46.48

$63.78

3

$28.59

$32.99

$41.50

$50.26

$67.55

4

$33.72

$38.07

$46.60

$55.38

$72.67

5

$38.22

$42.57

$51.10

$59.87

$77.16

(4) Community Learning Services.

Region 1 - Baltimore Metro (Baltimore City, Baltimore County, Anne Arundel, Harford, Howard, Carroll, Queen Anne's)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$22.47

$26.85

$35.37

$44.12

$61.43

2

$24.80

$29.17

$37.72

$46.48

$63.78

3

$28.59

$32.99

$41.50

$50.26

$67.55

4

$33.72

$38.07

$46.60

$55.38

$72.67

5

$38.22

$42.57

$51.10

$59.87

$77.16

Region 2 - Washington D.C. Metro (Calvert, Frederick, Prince George's, Montgomery, Charles)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$24.24

$28.97

$38.16

$47.60

$66.28

2

$26.76

$31.47

$40.70

$50.15

$68.81

3

$30.85

$35.59

$44.77

$54.23

$72.88

4

$36.38

$41.07

$50.28

$59.75

$78.40

5

$41.24

$45.93

$55.13

$64.59

$83.25

Region 3 - Rural (St. Mary's, Caroline, Garrett, Dorchester Kent, Somerset, Talbot, Wicomico, Worcester)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$22.47

$26.85

$35.37

$44.12

$61.43

2

$24.80

$29.17

$37.72

$46.48

$63.78

3

$28.59

$32.99

$41.50

$50.26

$67.55

4

$33.72

$38.07

$46.60

$55.38

$72.67

5

$38.22

$42.57

$51.10

$59.87

$77.16

Region 4 - Pittsburgh Metro (Allegany)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$22.47

$26.85

$35.37

$44.12

$61.43

2

$24.80

$29.17

$37.72

$46.48

$63.78

3

$28.59

$32.99

$41.50

$50.26

$67.55

4

$33.72

$38.07

$46.60

$55.38

$72.67

5

$38.22

$42.57

$51.10

$59.87

$77.16

Region 5 - Wilmington Metro (Cecil)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$23.88

$28.54

$37.59

$46.90

$65.29

2

$26.36

$31.00

$40.09

$49.40

$67.79

3

$30.39

$35.07

$44.11

$53.42

$71.80

4

$35.84

$40.46

$49.53

$58.86

$77.24

5

$40.62

$45.25

$54.31

$63.64

$82.01

Region 6 - Hagerstown Metro (Washington)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$22.47

$26.85

$35.37

$44.12

$61.43

2

$24.80

$29.17

$37.72

$46.48

$63.78

3

$28.59

$32.99

$41.50

$50.26

$67.55

4

$33.72

$38.07

$46.60

$55.38

$72.67

5

$38.22

$42.57

$51.10

$59.87

$77.16

(5) Employment Discovery and Customization.

Region 1 - Baltimore Metro (Baltimore City, Baltimore County, Anne Arundel, Harford, Howard, Carroll, Queen Anne's)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$22.47

$26.85

$35.37

$44.12

$61.43

2

$24.80

$29.17

$37.72

$46.48

$63.78

3

$28.59

$32.99

$41.50

$50.26

$67.55

4

$33.72

$38.07

$46.60

$55.38

$72.67

5

$38.22

$42.57

$51.10

$59.87

$77.16

Region 2 - Washington D.C. Metro (Calvert, Frederick, Prince George's, Montgomery, Charles)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$24.24

$28.97

$38.16

$47.60

$66.28

2

$26.76

$31.47

$40.70

$50.15

$68.81

3

$30.85

$35.59

$44.77

$54.23

$72.88

4

$36.38

$41.07

$50.28

$59.75

$78.40

5

$41.24

$45.93

$55.13

$64.59

$83.25

Region 3 - Rural (St. Mary's, Caroline, Garrett, Dorchester Kent, Somerset, Talbot, Wicomico, Worcester)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$22.47

$26.85

$35.37

$44.12

$61.43

2

$24.80

$29.17

$37.72

$46.48

$63.78

3

$28.59

$32.99

$41.50

$50.26

$67.55

4

$33.72

$38.07

$46.60

$55.38

$72.67

5

$38.22

$42.57

$51.10

$59.87

$77.16

Region 4 - Pittsburgh Metro (Allegany)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$22.47

$26.85

$35.37

$44.12

$61.43

2

$24.80

$29.17

$37.72

$46.48

$63.78

3

$28.59

$32.99

$41.50

$50.26

$67.55

4

$33.72

$38.07

$46.60

$55.38

$72.67

5

$38.22

$42.57

$51.10

$59.87

$77.16

Region 5 - Wilmington Metro (Cecil)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$23.88

$28.54

$37.59

$46.90

$65.29

2

$26.36

$31.00

$40.09

$49.40

$67.79

3

$30.39

$35.07

$44.11

$53.42

$71.80

4

$35.84

$40.46

$49.53

$58.86

$77.24

5

$40.62

$45.25

$54.31

$63.64

$82.01

Region 6 - Hagerstown Metro (Washington)

Health/Medical Level

Supervision/Assistance Level

1

2

3

4

5

1

$22.47

$26.85

$35.37

$44.12

$61.43

2

$24.80

$29.17

$37.72

$46.48

$63.78

3

$28.59

$32.99

$41.50

$50.26

$67.55

4

$33.72

$38.07

$46.60

$55.38

$72.67

5

$38.22

$42.57

$51.10

$59.87

$77.16

Md. Code Regs. 10.22.17.06

Regulations .06 amended as an emergency provision effective October 16, 1995 (22:22 Md. R. 1654)
Regulation .06 amended effective April 8, 1996 (23:7 Md. R. 552)
Regulation .06G amended as an emergency provision effective June 29, 1999 (26:15 Md. R. 1145); amended permanently effective October 4, 1999 (26:20 Md. R. 1545)
Regulation .06G amended as an emergency provision effective July 1, 2000 (27:15 Md. R. 1397); amended permanently effective October 16, 2000 (27:20 Md. R. 1839)
Regulation .06 and new regulation.06G adopted as an emergency provision effective July 1, 2002 (29:15 Md. R. 1139); adopted permanently effective October 14, 2002 (29:20 Md. R. 1588)
Regulation .06G amended as an emergency provision effective July 1, 2003 (30:14 Md. R. 934); amended permanently effective September 29, 2003 (30:19 Md. R. 1332)
Regulation .06G amended effective December 20, 2004 (31:25 Md. R. 1790); March 13, 2006 (33:5 Md. R. 520); January 1, 2007 (33:26 Md. R. 1997); December 31, 2007 (34:26 Md. R. 2263); March 23, 2009 (36:3 Md. R. 491); May 30, 2011 (38:11 Md. R. 671); April 15, 2013 (40:7 Md. R. 611); July 7, 2014 (41:13 Md. R. 752)
Regulation .06 amended effective 42:20 Md. R. 1265, eff.10/12/2015; amended effective 43:26 Md. R. 1445, eff. 1/2/2017; amended effective 45:7 Md. R. 345, eff. 4/9/2018; amended effective 46:10 Md. R. 485, eff. 5/20/2019; amended effective 47:20 Md. R. 875, eff. 10/5/2020