Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 21 - MENTAL HYGIENE REGULATIONS
Chapter 10.21.25 - Fee Schedule - Mental Health Services - Community-Based Programs and Individual Practitioners
Section 10.21.25.10 - Fee Schedule - Services - Traumatic Brain Injury (TBI) Waiver Program

Universal Citation: MD Code Reg 10.21.25.10

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

A. Residential Habilitation Services. The Department shall reimburse a program approved under COMAR 10.09.46 to provide residential habilitation services to an individual who is enrolled in the TBI Waiver Program:

(1) At the following rates:

(a) Level I ... $192.76 per day;

(b) Level II ... $255.24 per day;

(2) According to the need for the level of support documented in an individual's waiver plan of care and approved by the Administration; and

(3) According to the institutional level of care determined by the Department's utilization control agent.

B. Day Habilitation Services. The Department shall reimburse a program approved under COMAR 10.09.46 to provide day habilitation services to an individual who is enrolled in the TBI Waiver Program:

(1) At the following rates:

(a) Level I ... $49.76 per day;

(b) Level II ... $86.81 per day;

(2) According to the need for the level of support documented in an individual's waiver plan of care and approved by the Administration; and

(3) According to the institutional level of care determined by the Department's utilization control agent.

C. Supported Employment Services. The Department shall reimburse a program approved under COMAR 10.09.46 to provide supported employment services to an individual who is enrolled in the TBI Waiver Program:

(1) At the following rates:

(a) Level I ... $29.53 per day;

(b) Level II ... $49.76 per day;

(2) According to the need for the level of support documented in an individual's waiver plan of care and approved by the Administration; and

(3) According to the institutional level of care determined by the Department's utilization control agent.

D. Individual Support Services. The Department shall reimburse a program approved under COMAR 10.09.46 to provide individual support services, as defined in COMAR 10.22.07, to an individual who is enrolled in the TBI Waiver Program at a rate of $24.14 per hour, not to exceed 8 hours per day.

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