Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.40 - Early Intervention Service Coordination
Section 10.09.40.04 - Covered Services
Universal Citation: MD Code Reg 10.09.40.04
Current through Register Vol. 51, No. 19, September 20, 2024
A. The Program shall reimburse for the services in §§B, C, and D of this regulation, when they have been documented as necessary.
B. Initial Service Coordination.
(1) A unit of service is defined as a
completed initial Individualized Family Service Plan (IFSP) and at least one
contact with the participant or the participant's family, on the participant's
behalf.
(2) The covered services
include convening and conducting a multidisciplinary team to:
(a) Perform a multidisciplinary assessment;
and
(b) Develop an initial IFSP for
a participant that identifies the:
(i)
Participant's needs for early intervention, medical, mental and behavioral
health, social, educational, financial assistance, counseling, and other
support services;
(ii)
Responsibilities and rights of the participant and the family,
(iii) Provider's responsibilities,
and
(iv) Resources available to
provide the needed services.
(3) Administrative, supervisory, and
monitoring services associated with the initial service coordination are
included as a part of the service.
C. Ongoing Service Coordination.
(1) Ongoing service coordination is provided
following the initial service coordination.
(2) A unit of service includes all necessary
covered services and at least one monthly contact with the participant's family
on the participant's behalf via:
(a) Telephone
call;
(b) Telehealth or in-person
visit; or
(c) Written
communication.
(3) These
services include:
(a) Maintaining contact
with a participant and the family through home visits, office visits, telephone
calls, and follow-up services as necessary;
(b) Referring the participant to direct
service providers, assisting the participant in gaining access to services
specified in the IFSP, and providing linkage to agreed-upon direct service
providers of early intervention services;
(c) Discussing with direct service providers
of early intervention services the services needed and available for the
participant, determining the quality and quantity of service being provided,
following up to identify any obstacles to a participant's utilization of
services, coordinating the service delivery, and performing ongoing monitoring
to determine whether the recommended services are being delivered and meet the
participant's current needs;
(d)
Providing a participant's family with information and direction that will
assist the participant in successfully accessing and using the services
recommended in the IFSP;
(e)
Informing a participant's family of the participant's and the family's rights
and responsibilities in regard to specific programs and resources;
(f) Conducting, with a participant's family,
a periodic review of the participant's IFSP every 6 months, or more frequently
if conditions warrant or the family requests a review;
(g) A periodic review accomplished at a
meeting or by other means acceptable to the family and others involved in the
review process, and which determines the following:
(i) The degree of a participant's progress
toward achieving the goals established in the IFSP, and
(ii) Whether the goals or recommended
services need to be revised; and
(h) Being available to the participant and
the family on a nonscheduled basis as necessary for problem resolution and
crisis management related to the participant's needs.
(4) Administrative, supervisory, and
monitoring services associated with the ongoing case management services are
included as part of the service.
D. Annual IFSP Review.
(1) A unit of service is defined as a
completed annual IFSP review and at least one contact with the participant or
the participant's family, on the participant's behalf.
(2) The covered services include convening
and conducting a multidisciplinary team to:
(a) Perform a multidisciplinary reassessment
of the participant's status and service needs; and
(b) Review and revise, as necessary, the
participant's IFSP.
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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