Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.30 - Statewide Evaluation and Planning Services
Section 10.09.30.02 - Definitions
Universal Citation: MD Code Reg 10.09.30.02
Current through Register Vol. 51, No. 19, September 20, 2024
A. The following terms have the meanings indicated.
B. Terms Defined.
(1) "Comprehensive evaluation" means the assessment
performed by a nurse or social worker, or both, using the tools designated by
the Department, of a participant's medical, social, and functional status by:
(a) Direct observation of the
participant;
(b) Contact, as
appropriate, with the participant's representative; and
(c) Financial eligibility
screening.
(2)
"Department" means Department of Health and Mental Hygiene.
(3) "Financial eligibility screening" means the
determination of whether an individual qualifies financially as a participant.
(4) "Geriatric Evaluation Services
(GES)" means the assessment that is required to admit an individual to a State
facility or Veteran's Administration hospital.
(5) "Nurse" means a person who is licensed as
a registered nurse in the jurisdiction in which services are
provided.
(6) "Nurse practitioner"
means a person who is licensed as a nurse practitioner in the jurisdiction in
which services are provided.
(7)
"Participant" means a Medicaid recipient or an individual who would be able to
establish financial eligibility under the Program within 6 months of admission
to a nursing facility, whose needs may not be adequately met in an episodic
ambulatory care setting, and who may require continuing institutional or
community based long-term care services.
(8) "Plan of care" means the written long term care
plan composed of a comprehensive evaluation of the participant's health status
including:
(a) Pertinent diagnoses;
(b) Psychosocial status;
(c) Functional status; and
(d) Type of services recommended.
(9) "Preadmission Screening and
Resident Review (PASRR)" means the screening or reviewing of all individuals
with mental illness or intellectual disability who apply to or reside in
Medicaid-certified nursing facilities.
(10) "Program" has the same meaning as defined in
COMAR 10.09.36.
(11) "Provider"
means a local health department, or when necessary, a contracted agency:
(a) Providing the comprehensive evaluation
through an appropriate agreement with the Department and identified as a
Program provider by the issuance of an individual account number;
(b) Employing nurses and social workers to
provide the comprehensive evaluation; and
(c) Demonstrating experience in providing assessment
and evaluation services and in developing plans of care.
(12) "Provider agreement" means a contract
between the Department and the provider of STEPS specifying the:
(a) Services to be performed;
(b) Methods of operation; and
(c) Financial and legal requirements which
shall be in force before Program participation.
(13) "Psychiatrist" means a person who is
licensed as a psychiatrist in the jurisdiction in which services are
provided.
(14) "Psychologist" means
a person who is licensed as a psychologist in the jurisdiction in which
services are provided.
(15)
"Social worker" means a person who is licensed as a social worker in the
jurisdiction in which services are provided.
Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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