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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