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07.02.19.00.htm 07.02.19.00. Title 07 DEPARTMENT OF HUMAN SERVICES Subtitle 02 SOCIAL SERVICES ADMINISTRATION Chapter 19 Certified Adult Residential Environment (CARE) Program Authority: Health-General Article, §19-1801―19-1806; Human Services Article, §6-508―6-513; Annotated Code of Maryland (Agency Note: Federal Regulatory Reference: 45 CFR Part 1397)
07.02.19.01.htm 07.02.19.01. 01 Scope and Purpose.. The Certified Adult Residential Environment (CARE) Program, also known as Project Home, is a voluntary program that:A. Develops, certifies, and monitors protective CARE housing for individuals with disabilities;. B. Provides case management services to residents living in CARE housing; and. C. Provides a long-term or permanent housing setting for a stable population of individuals with disabilities using an Adult Foster Family Model of Ca
07.02.19.02.htm 07.02.19.02. 02 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) "Administration" means the Social Services Administration of the Department of Human Services.. 2) "Adult Foster Family Model of Care" means a program of care where:. a) An adult with a disability is cared for as a member of the care provider's family;. b) Care is provided in the provider's home; and.
07.02.19.03.htm 07.02.19.03. 03 Eligibility for CARE Services.. A. An individual is eligible for CARE services if the individual:. 1) Is a resident of Maryland;. 2) Is an individual with a disability;. 3) Is 18 years old or older;. 4) Has no appropriate and willing relative who will provide a community placement;. 5) Does not require the provider to take responsibility for services beyond the capacity of the CARE program's adult foster care model of housing, including health services, treatment regimens, and in
07.02.19.04.htm 07.02.19.04. 04 Application for Services.. A. The local department shall screen an applicant's completed application for CARE services on forms prescribed by the Administration. A complete application comprises the following information:1) A completed Project Home application form.. 2) A health history and the applicant's most recent health assessments; and. 3) Consent forms signed by the applicant for the release of information to the local department by:.
07.02.19.05.htm 07.02.19.05. 05 Delivery of CARE Services by the Case Manager.. A. Selection of a CARE Home.. 1) The case manager shall identify an appropriate CARE home and, with the applicant and the provider, make a placement plan.2) The selection of an appropriate CARE home shall include consideration of the following:. a) The possibility of a same room assignment for both spouses if both require CARE services;. b) Whether the CARE home can accommodate the needs of the applicant;.
07.02.19.06.htm 07.02.19.06. 06 Redetermination, Reconsideration, and Termination.. A. Redetermination. The case manager shall redetermine eligibility and level of care:. 1) Within 30 days after the local department obtains information about changes in the resident's circumstances which may affect the resident's eligibility; and2) Annually.. B. Reconsideration.. 1) A reconsideration of a resident's case plan shall include:. a) Reassessment of the resident's needs and goals;.
07.02.19.07.htm 07.02.19.07. 07 Certification Requirements for CARE Homes.. A. A provider and the CARE home operated by the provider shall meet standards set forth in this regulation, and have a separate certification for each site at which the provider applicant proposes to house CARE residents.B. The provider or incorporated provider's designee shall:. 1) Be 21 years old or older;. 2) Document that the provider applicant has sufficient financial resources to establish and operate the CARE home;
07.02.19.08.htm 07.02.19.08. 08 Application Process for Providers.. A. A person who wishes to operate a CARE home shall apply at the local department and submit a completed application on a form prescribed by the Administration.B. Processing of Application by the Local Department.. 1) Except under circumstances set forth in Regulation .16 of this chapter, the local department shall evaluate the provider applicant and the residence through the following activities:
07.02.19.09.htm 07.02.19.09. 09 Local Department Responsibilities to the Provider.. Local department responsibilities to the provider include:. A. Referral to training offered by the Administration;. B. Consultation and supportive services;. C. Assistance to formulate realistic house rules;. D. Technical advice to meet the standards of the CARE program; and. E. An annual review of the CARE home and provider and subsequent written notice of recertification or disapproval of certification.
07.02.19.10.htm 07.02.19.10. 10 Provider Responsibilities.. A. Level of Care.. 1) A CARE home shall provide a level of care based on the provider's ability to:. a) Respond to the resident's need for supervision;. b) Teach activities of daily living;. c) Provide personal care services and encouragement; and. d) Facilitate the resident's decision making and planning.. 2) The level of care and services provided to an individual resident shall be:. a) Specified in the residential service agreement;.
07.02.19.11.htm 07.02.19.11. 11 Limitations on the Certificate.. A. A certificate may not be transferred to another residence or provider.. B. Time Limitation.. 1) A certificate is valid for 1 year from the date of issuance.. 2) A temporary certificate is valid for 90 days from the date of issuance.. C. Level of Care. A residence certified for:. 1) Level D may have applicants at Levels A, B, C, or D;. 2) Level C may have only applicants at Level A, B, or C;.
07.02.19.12.htm 07.02.19.12. 12 Recertification.. A. The local department shall initiate the process to recertify the CARE home:. 1) Within 30 days after the local department obtains information about changes in the provider's circumstances or the residence which affect the certification; and2) At least once a year.. B. Application for Recertification.. 1) The local department shall send the provider an application:. a) Within 10 days after obtaining the provider's information about a change; or.
07.02.19.13.htm 07.02.19.13. 13 Probationary Period.. A. The local department may place the provider on probationary status:. 1) Upon finding that a violation requires immediate action to protect the health, safety, or welfare of a resident in the provider's care; and2) For not more than 60 days from the date of the department’s knowledge of the violation.. B. Probation Notice.. 1) The local department shall notify the provider of the probationary status in writing within 10 days of the local departmen
07.02.19.14.htm 07.02.19.14. 14 Revocation.. A. The local department may revoke a certificate if:. 1) The provider or the CARE home fails to meet certification requirements as stated in Regulation .07 of this chapter;2) The provider fails to disclose pertinent information related to certification or provides false information to the local department;3) Conditions in the home represent a threat to the health, safety, or welfare of a resident;. 4) The provider requests that the certificate be revoked;.
07.02.19.15.htm 07.02.19.15. 15 Enforcement.. A. If the provider's certificate expires or is revoked, the local department shall send a written notice, if appropriate, to:1) All residents of the home;. 2) Individuals responsible for residents' placement in the home including:. a) The families or guardians of residents; or. b) Representative payees of SSI beneficiaries; and. 3) MDH, Office of Health Care Quality.. B. The written notice from the local department shall include:.
07.02.19.16.htm 07.02.19.16. 16 Limits on Program.. A. The delivery of case management services and the certification of CARE homes are subject to the limitation of available funds and staff.B. For CARE applicants who cannot be served due to insufficient funds or staff, the local department shall:1) Maintain a waiting list; and. 2) Serve eligible applicants in the order in which they are ranked in accordance with Regulation .04E of this chapter.C. For provider applicants who cannot be studied f
07.02.19.17.htm 07.02.19.17. 17 Fair Hearings and Nondiscrimination.. A. The resident, a representative acting on behalf of the resident, or the provider may request a fair hearing as provided in COMAR 07.01.04.B. The local department and provider are subject to the prohibition against discrimination as stated in COMAR 07.01.03.
07.02.19.9999.htm 07.02.19.9999. Administrative History Effective date: February 24, 1986 (13:4 Md. R. 395). Regulations .02, .03, .07, and .08 amended; new Regulation .16 adopted; and existing Regulations .16 and .17 recodified to be .17 and .18 as an emergency provision effective February 24, 1986 (13:6 Md. R. 667) emergency status expired June 30, 1986Regulations .02I, K; .03C; .07; .08A amended effective July 13, 1986 (13:14 Md. R. 1631). Regulations .16 and .17 recodified to .17 and .18,
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