Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 22 - DEVELOPMENTAL DISABILITIES
Chapter 10.22.18 - Community Supported Living Arrangements Payment System
Section 10.22.18.02 - Definitions
Universal Citation: MD Code Reg 10.22.18.02
Current through Register Vol. 51, No. 19, September 20, 2024
A. In this chapter, the following terms have the meanings indicated.
B. Terms Defined.
(1) "Actual costs" means all direct and
indirect costs that the provider incurs for labor performed or goods
delivered.
(2) "Administration"
means the Developmental Disabilities Administration.
(3) "Base services" means services covered by
the rate.
(4) "Community Supported
Living Arrangements (CSLA)" has the meaning stated in COMAR
10.22.01.01B(12).
(5) "Department" means the Department of
Health and Mental Hygiene.
(6)
"Direct services" means services provided directly to the individual.
(7) "Existing services" means a service
provided continuously to an individual by the same provider beginning on or
before June 30, 2000.
(8) "Fiscal
management services (FMS)" means a person approved by the Administration and
designated as an Organized Health Care Delivery System under COMAR 10.22.20
that:
(a) Assists individuals and families in
managing their funds and paying for services; and
(b) Is responsible for submitting financial
reports to the individual and Administration.
(9) "Hours of service" means the
preauthorized hours of direct services made available to the individual being
served as identified in the individual plan.
(10) "Individual plan (IP)" has the meaning
stated in COMAR
10.22.01.01B(27).
(11) "Licensee" means a provider of Community
Supported Living Arrangement services licensed under COMAR
10.22.02.01A.
(12) "New individuals" means those
individuals starting Community Supported Living Arrangements services with a
licensee after June 30, 2000.
(13)
Professional Services.
(a) "Professional
services" means services provided by an individual authorized to perform these
services under Health Occupations Article, Annotated Code of
Maryland.
(b) "Professional
services" includes but is not limited to direct, on- going nursing services and
behavioral services provided in accordance with COMAR 10.22.10.
(14) "Rate" means the amount the
Department pays for an hour of CSLA service and covers all actual costs
incidental to providing the service, including but not limited to coordination
of the service; nursing review of services; administrative costs; staff hiring,
training, travel, and supervision; and program direction. The hours of service
are used to determine the rate.
(15) "Self-directed services" means services,
as approved by the Administration:
(a) That an
individual arranges; and
(b) For
which the individual reimburses the provider.
(16) "Supplemental services" means
preauthorized services not covered by the rate.
(17) "Support broker" means a person employed
by individuals and families, who have been determined eligible by the
Administration, that helps them:
(a) Decide
what services and supports are best for them; and
(b) Access and manage the chosen services and
supports.
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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