Md. Code Regs. 10.22.18.02

Current through Register Vol. 51, No. 25, December 13, 2024

Section 10.22.18.02 - Definitions

A. In this chapter, the following terms have the meanings indicated.

B. Terms Defined.

(1) "Actual costs" means all direct and indirect costs that the provider incurs for labor performed or goods delivered.

(2) "Administration" means the Developmental Disabilities Administration.

(3) "Base services" means services covered by the rate.

(4) "Community Supported Living Arrangements (CSLA)" has the meaning stated in COMAR 10.22.01.01B(12).

(5) "Department" means the Department of Health and Mental Hygiene.

(6) "Direct services" means services provided directly to the individual.

(7) "Existing services" means a service provided continuously to an individual by the same provider beginning on or before June 30, 2000.

(8) "Fiscal management services (FMS)" means a person approved by the Administration and designated as an Organized Health Care Delivery System under COMAR 10.22.20 that:

(a) Assists individuals and families in managing their funds and paying for services; and

(b) Is responsible for submitting financial reports to the individual and Administration.

(9) "Hours of service" means the preauthorized hours of direct services made available to the individual being served as identified in the individual plan.

(10) "Individual plan (IP)" has the meaning stated in COMAR 10.22.01.01B(27).

(11) "Licensee" means a provider of Community Supported Living Arrangement services licensed under COMAR 10.22.02.01A.

(12) "New individuals" means those individuals starting Community Supported Living Arrangements services with a licensee after June 30, 2000.

(13) Professional Services.

(a) "Professional services" means services provided by an individual authorized to perform these services under Health Occupations Article, Annotated Code of Maryland.

(b) "Professional services" includes but is not limited to direct, on- going nursing services and behavioral services provided in accordance with COMAR 10.22.10.

(14) "Rate" means the amount the Department pays for an hour of CSLA service and covers all actual costs incidental to providing the service, including but not limited to coordination of the service; nursing review of services; administrative costs; staff hiring, training, travel, and supervision; and program direction. The hours of service are used to determine the rate.

(15) "Self-directed services" means services, as approved by the Administration:

(a) That an individual arranges; and

(b) For which the individual reimburses the provider.

(16) "Supplemental services" means preauthorized services not covered by the rate.

(17) "Support broker" means a person employed by individuals and families, who have been determined eligible by the Administration, that helps them:

(a) Decide what services and supports are best for them; and

(b) Access and manage the chosen services and supports.

Md. Code Regs. 10.22.18.02

Regulations .02 adopted as an emergency provision effective July 1, 2000 (27:15 Md. R. 1397); adopted permanently effective October 30, 2000 (27:21 Md. R. 1976)
Regulation .02B amended effective March 13, 2006 (33:5 Md. R. 520)