Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.84 - Community First Choice
Section 10.09.84.18 - Covered Services - Items or Services that Substitute for Human Assistance
Universal Citation: MD Code Reg 10.09.84.18
Current through Register Vol. 51, No. 19, September 20, 2024
A. The program covers items or services that increase a participant's independence or substitute for human assistance, to the extent that expenditures would otherwise be made for the human assistance.
B. Each item or service shall:
(1) Be preauthorized in the participant's
plan of service as necessary to:
(a) Prevent
the participant's institutionalization; and
(b) Ensure the participant's health, safety,
and independence;
(2)
Specifically relate to ADLs or IADLs within the approved plan of
service;
(3) Comply with policies
and procedure guidance defined by the Department;
(4) Meet necessary standards of manufacture,
design, usage, and installation, if applicable;
(5) Be provided in accordance with applicable
State and local building codes and pass required inspections, if applicable;
and
(6) Not be prescribed primarily
to provide comfort or convenience.
C. Each item or service shall be confirmed by the Program as not covered for the participant by:
(1) Medicaid under the State Plan as durable
medical equipment or pharmacy services under COMAR 10.09.03, 10.09.12, or
10.09.67;
(2) Medicare;
or
(3) Any other third-party
payer.
D. The program covers home-delivered meals provided during meal periods that personal assistance services are not provided. Home-delivered meals shall be:
(1) Delivered to the participant's
home;
(2) Intended for consumption
at home;
(3) Nutritionally adequate
for the participant's age based on the Recommended Dietary Allowance (RDA) or
Dietary Reference Intake (DRI), as established by the Food and Nutrition Board
of the National Research Council and demonstrated by having the menus certified
in writing by a physician, dietitian, or nutritionist; and
(4) At least one-third of the RDA, DRI, or
therapeutic diet requirements ordered by the participant's physician,
dietitian, or nutritionist, including any ordered nutritional
supplements.
E. Technology that substitutes for human assistance includes:
(1) Environmental controls for the home or
automobile;
(2) Personal computers,
software, or accessories;
(3)
Augmentative communication devices;
(4) Maintenance or repair of technology
devices;
(5) Self-help aids that
assist with activities of daily living or instrumental activities of daily
living; and
(6) Assessments and
training in the use of assistive technology.
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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