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10.09.40.00.htm 10.09.40.00. Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 09 MEDICAL CARE PROGRAMS Chapter 40 Early Intervention Services Case Management Authority: Health-General Article, §2-104(b) 15-103, and 15-105, Annotated Code of Maryland
10.09.40.01.htm 10.09.40.01. 01 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) "Case management" means services which will assist participants in gaining access to the full range of Medical Assistance services, as well as to any additional needed medical, social, mental health, financial assistance, counseling, educational, and other support services.2) "Case manager" means an individual who:.
10.09.40.02.htm 10.09.40.02. 02 Licensing Requirements.. A. Social workers participating as case managers shall be licensed pursuant to Health Occupations Article, Title 18, Annotated Code of Maryland, or meet the social worker licensure and regulatory requirements of the state in which the services are provided.B. Registered nurses participating as case managers shall be licensed pursuant to Health Occupations Article, Title 7, Annotated Code of Maryland, or meet the registered nurse licensure and regulatory
10.09.40.03.htm 10.09.40.03. 03 Conditions for Participation.. A. General requirements for participation in the Program are that providers shall do the following, either directly through staff or by agreement:1) Meet all conditions for participation as set forth in COMAR 10.09.36.03; and. 2) Maintain a file on each participant which meets the Program's requirements and which includes for each contact made by the case manager:a) Date and subject of contact,. b) Person contacted,. c) Person making the contact,.
10.09.40.04.htm 10.09.40.04. 04 Covered Services.. A. The Program shall reimburse for the services in §B, C, and D of this regulation, when they have been documented as necessary.B. Initial Case Management Services.. 1) A unit of service is defined as a completed initial Individualized Family Service Plan (IFSP) and at least one contact with the participant or the participant's family, in the participant's behalf.2) The covered services include convening and conducting a multidisciplinary team to:.
10.09.40.05.htm 10.09.40.05. 05 Limitations.. A. Early intervention services case management is advisory in nature.. B. A restriction may not be placed on a qualified recipient's option to receive early intervention services case management.C. Early intervention services case management does not restrict or otherwise affect:. 1) Eligibility for Title XIX benefits or other available benefits or programs;. 2) The freedom of a participant's parent or family to select from all available services for which t
10.09.40.06.htm 10.09.40.06. 06 Payment Procedures.. A. Request for Payment.. 1) Requests for payment of early intervention services case management shall be submitted by an approved provider according to procedures established by the Department. The Department reserves the right to return to the provider, before payment, all invoices not properly signed and completed.2) A provider shall submit a request for payment on the invoice form designated by the Department. A separate invoice shall b
10.09.40.07.htm 10.09.40.07. 07 Recovery and Reimbursement.. Recovery and reimbursement shall be as set forth in COMAR 10.09.36.07..
10.09.40.08.htm 10.09.40.08. 08 Cause for Suspension or Removal and Imposition of Sanctions.. Cause for suspension or removal and imposition of sanctions shall be as set forth in COMAR 10.09.36.08.
10.09.40.09.htm 10.09.40.09. 09 Appeal Procedures.. Appeal Procedures shall be as set forth in COMAR 10.09.36.09..
10.09.40.10.htm 10.09.40.10. 10 Interpretive Regulation.. State regulations shall be interpreted as set forth in COMAR 10.09.36.10..
10.09.40.9999.htm 10.09.40.9999. Administrative History Effective date:. Regulations .01―10 adopted as an emergency provision effective November 19, 1990 (17:24 Md. R. 2835) emergency status extended at 18:4 Md. R. 445 (February 22, 1991) adopted permanently effective February 18, 1991 (18:3 Md. R. 305) ―Chapter revised as an emergency provision effective August 1, 1991 (18:17 Md. R. 1911) amended permanently effective November 1, 1991 (18:21 Md. R. 2308)
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