Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 22 - DEVELOPMENTAL DISABILITIES
Chapter 10.22.12 - Eligibility for and Access to Community Services for Individuals with Developmental Disability
Section 10.22.12.06 - Eligibility Determination Process - Personal Contact and Determination of Service Needs
Universal Citation: MD Code Reg 10.22.12.06
Current through Register Vol. 51, No. 19, September 20, 2024
A. Determination of Service Needs.
(1) When a
personal contact is made by a representative of the DDA, in accordance with
Regulation .05B(3)(c), of this chapter, the representative shall:
(a) Establish if the individual has a
developmental disability;
(b)
Establish the nature of the disability;
(c) Collect sufficient information, including
any existing evaluations, to make a recommendation concerning assignment to a
services priority category, taking into account the strengths and needs of the
family, caregiver, and the individual;
(d) Describe the nature of the services that
the individual may require through:
(i)
Discussion with the applicant, caregiver, or other proponent, when one exists,
and
(ii) Observation of the
interaction between the applicant, caregiver, or other proponent, when one
exists;
(e) Describe the
type of environment that the individual may require through:
(i) Discussion with the applicant, caregiver,
or other proponent, when one exists, and
(ii) Observation of the interaction between
the applicant, caregiver, or other proponent, when one exists.
(2) A face-to-face
personal contact shall be conducted for individuals living in the community.
For individuals living in chronic hospitals, rehabilitation facilities,
residential schools, or for a transitioning youth whose only service need is a
day program, a personal contact may consist of interviews with staff or
individuals by phone or in person. Knott class individuals shall receive a
personal contact. Individuals with the sole diagnosis of mental illness or
otherwise not eligible for DDA-funded services may not receive a personal
contact.
(3) A representative of
the DDA shall give written results of the personal contact to the appropriate
regional director with a recommendation regarding eligibility, service needs,
and priorities.
(4) If the regional
director agrees that the individual is eligible for services, the regional
director shall recommend to the Director that the individual be assigned to one
or more of six service priority categories described in Regulation .07B of this
chapter, for each service as appropriate.
(5) The Director shall review the
recommendation of the regional director concerning eligibility, service needs,
and priorities.
(6) The Director
shall send a letter to the applicant notifying the individual of the decision
regarding the applicant's:
(a)
Eligibility;
(b) Service
needs;
(c) Priorities;
and
(d) Right to an informal
hearing in accordance with COMAR 10.22.16.
B. Eligibility and Access Time Frame.
(1) The entire eligibility and access process
may not exceed 60 days except under the following conditions:
(a) Scheduled appointments are cancelled by
the applicant, caregiver, or other proponent, when one exists, and new
appointments cannot be scheduled in a timely manner; or
(b) Requested information necessary to make
recommendations regarding eligibility, service needs, and priorities has not
been received from the applicant, caregiver, or other proponent, when one
exists.
(2) The regional
director shall review the applicant's requests for extensions of the
eligibility and access process. Requests may be approved if the above
conditions have been corrected or if definite arrangements have been made to
correct the above conditions.
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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