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 10.22.18.06 - Requests For and Approval of Supplemental Services
Universal Citation: MD Code Reg 10.22.18.06
Current through Register Vol. 51, No. 19, September 20, 2024
A. In order for the Administration to reimburse a licensee for supplemental services, the Administration shall preauthorize the service and approve the cost.
B. To be approved for reimbursement of supplemental services, except housing, the licensee shall:
(1) Submit a written request to the
Administration justifying the request, including:
(a) Recommendations from the individual's
team,
(b) Documentation from
appropriate professionals, and
(c)
Other documentation the Administration requires; and
(2) Justify the basis of the proposed costs
and submit supporting documentation, such as:
(a) Bids from vendors,
(b) Advertisements for the item,
and
(c) Rates of a proposed
vendor.
C. To be approved for reimbursement of supplemental housing costs, the licensee shall submit a written request to the Administration documenting:
(1) The individual's income and
expenses;
(2) The housing costs;
and
(3) Efforts to obtain other
State or federal assistance with housing costs.
D. In deciding whether to authorize supplemental services, the Administration shall:
(1) Consider the documentation submitted by
the provider in this regulation;
(2) Consider the proposed cost for the
service;
(3) If appropriate, visit
the individual in the setting where the continuous supplemental services are to
be provided; and
(4) Review the
licensee's efforts to meet the individual's needs within existing
resources.
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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