Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.81 - Increased Community Services (ICS) Program
Section 10.09.81.30 - Covered Services - Attendant Care Services

Universal Citation: MD Code Reg 10.09.81.30

Current through Register Vol. 51, No. 19, September 20, 2024

A. Definition. "Unit of service" means an hour of service that is in the plan of service and rendered to a participant by a qualified provider in the participant's home or in a community setting.

B. Except as provided in §C of this regulation, the ICS Program covers the following attendant care services:

(1) Assistance with activities of daily living;

(2) Delegated nursing functions, such as assistance with the participant's administration of medications or other remedies, when ordered by a physician, if this assistance is:
(a) Specified in the participant's plan of service; and

(b) Rendered in accordance with the Maryland Nurse Practice Act, COMAR 10.27.11, and other requirements of the Maryland Board of Nursing;

(3) Assistance with protecting a participant from harm or neglect;

(4) Assistance with instrumental activities of daily living, provided as incidental to the services covered under §B(1)-(3) of this regulation; and

(5) Accompanying the participant outside of the home during the participant's community activities.

C. Attendant care services may not include:

(1) Services rendered to anyone other than the participant or primarily for the benefit of anyone other than the participant;

(2) The cost of food or meals;

(3) Housekeeping services, other than those incidental services covered under §B(4) of this regulation;

(4) Expenses related to room and board for either the participant or the attendant;

(5) Expenses incurred while escorting a participant to obtain medical diagnosis or treatment; or

(6) Skilled medical services performed by individuals with a professional medical license or certification.

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