Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.56 - Home and Community-Based Services Waiver for Children with Autism Spectrum Disorder
Section 10.09.56.21 - Limitations
Current through Register Vol. 51, No. 19, September 20, 2024
A. Reimbursemen may be made by the Program only when all of the requirements of this chapter are met.
B. Residential habilitation services may not be reimbursed for the same date of service as intensive individual support services, therapeutic integration services, intensive therapeutic integration services, or respite care.
C. Therapeutic integration services, intensive therapeutic integration services, and intensive individual support services under this chapter and school health-related services under COMAR 10.09.50 may not be reimbursed for the same period of the same day.
D. Therapeutic integration and intensive therapeutic integration services may not be rendered during the same week to a participant.
E. Therapeutic integration and intensive therapeutic integration services may include transportation time when at least 2 units of service have been provided on-site, and the maximum units of service billed may not exceed:
F. Environmental accessibility adaptations may be reimbursed only if preauthorized by the State Department of Education.
G. If an environmental accessibility adaptation is anticipated to cost over $500, at least two bids or prices shall be obtained, based on which the State Department of Education may approve the purchase.
H. The Program may reimburse for a participant not more than:
I. Respite services may not be reimbursed for the same period of the same day as:
J. The Program does not reimburse transportation costs such as gas, maintenance, or other vehicle operating expenses.
K. Adult life planning services under this chapter and school health-related services under COMAR 10.09.50 may not be reimbursed for the same period of the day.
L. The Program does not reimburse for any autism waiver services for a participant whose residential placement in a 24-hour, 365-day residential program is funded with non-Medicaid federal, State, or local government funds.