Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.52 - Service Coordination for Children with an IEP or Enrolled in the Autism Waiver
Section 10.09.52.01 - Definitions
Universal Citation: MD Code Reg 10.09.52.01
Current through Register Vol. 51, No. 19, September 20, 2024
A. In this chapter, the following terms have the meanings indicated.
B. Terms Defined.
(1) "Autism" has the meaning stated in COMAR
10.09.56.01C.
(2) "Autism Waiver" or "Waiver"
means the Home and Community-Based Services Waiver for Children with Autism
Spectrum Disorder.
(3) "Autism
Waiver Service Coordination" means the coordination of waiver services covered
under this chapter.
(4) "Autism
Waiver Service Coordinator" means an individual who meets the requirements
specified in Regulation .03-1 of this chapter and provides the autism waiver
services specified in Regulations .04-1-04.2 of this chapter to a waiver
participant.
(5) "Department" has
the meaning stated in COMAR
10.09.36.01B.
(6) "Home and Community-Based
Services Waiver for Children with Autism Spectrum Disorder" means the program
implemented under COMAR 10.09.56 in accordance with the document and any
amendments to it submitted by the Department to, and approved by, the Secretary
of the U. S. Department of Health and Human Services, which authorizes the
waiver, pursuant to Section 1915(c) of Title XIX of the Social Security Act, of
certain specified statutory requirements limiting coverage for home and
community-based services under the Medical Assistance Program.
(7) "IEP service coordination" means the
coordination of services which assists a participant in gaining access to the
services recommended in the participant's IEP.
(8) "IEP service coordinator" means an
individual who meets the requirements in Regulation .03C of this
chapter.
(9) "Individualized
Education Program (IEP)" means a written, individualized plan of care for a
participant, that:
(a) Is developed by an IEP
team on a form approved by MSDE;
(b) Recommends the special education and
related services to meet a participant's needs; and
(c) Conforms with the requirements in COMAR
13A.05.01 and 34 CFR
§§ 300.320 -300-324.
(10) "Individualized education
program (IEP) team" means the multidisciplinary team convened by a provider in
accordance with COMAR 13A.05.01 to review a participant's needs, develop the
participant's IEP, and determine the placement of the participant in the least
restrictive environment.
(11)
"Individualized family service plan (IFSP)" means a written, individualized
plan for providing early intervention and other services for an infant,
toddler, or preschool-age child, in accordance with COMAR 13A.13.01.
(12) "Local lead agency" means the agency
designated by the local governing authority in each jurisdiction to administer
the interagency system of early intervention services under the direction of
the Maryland State Department of Education.
(13) "Local school system (LSS)" means any public
school system in Maryland responsible for providing public elementary or
secondary education.
(14)
"Maryland Medicaid Managed Care Program" has the meaning stated in COMAR
10.67.01.01.
(15) "Maryland State
Department of Education (MSDE)" is the agency responsible for ensuring that all
children with disabilities residing in the State are identified, assessed, and
provided with a free, appropriate public education consistent with State and
federal laws.
(16) "Medically
necessary" has the meaning stated in COMAR
10.09.36.01B.
(17) "Parent" has the meaning
stated in COMAR 13A.13.01.03.
(18)
"Participant" means an individual who meets the qualifications for
participation in the services covered under this chapter, as specified in
Regulation .02 of this chapter.
(19) "Program" has the meaning stated in
COMAR 10.09.36.01B.
(20) "Provider" means an agency
which meets the conditions for participation, as specified in Regulation .03 of
this chapter.
(21) "Qualified
diagnostician" means an individual whose license or certification permits
diagnosis of Autism Spectrum Disorder.
(22) "Rare and expensive case management (REM)" has
the meaning stated in COMAR 10.09.69.02.
(23) "Telehealth" has the meaning as stated
in COMAR 10.09.49.02.
(24) "Waiver
eligible person" means an individual who meets the qualifications, as specified
in COMAR 10.09.56, for participation in the Autism Waiver.
(25) "Waiver multidisciplinary team" means
the team, consistent with the Individuals with Disabilities Education Act
(IDEA), which is convened for a waiver applicant or waiver
participant.
(26) "Waiver
participant" means a child whose enrollment meets the requirements set forth in
COMAR 10.09.56.
(27) "Waiver plan
of care" means the written, individualized treatment plan which preauthorizes
the specific Autism Waiver services to be provided to a waiver participant, as
covered under COMAR 10.09.56.
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