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10.09.52.00.htm 10.09.52.00. Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 09 MEDICAL CARE PROGRAMS Chapter 52 Service Coordination for Children with Disabilities Authority: Health-General Article, §2-104(b) 15-103, and 15-105, Annotated Code of Maryland
10.09.52.01.htm 10.09.52.01. 01 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) “Autism” has the meaning stated in COMAR 10.09.56.01C.. 2) "Autism Waiver" means the Home and Community-Based Services Waiver for Children with Autism Spectrum Disorder.3) "Children with disabilities" means those children who are waiver participants or:. a) Who have been determined through appropriate assessment pursuant to COMAR 13A.05.01 as having tem
10.09.52.02.htm 10.09.52.02. 02 Participant Eligibility.. A recipient is eligible to participate in Service Coordination for Children with Disabilities if:. A. The individual is enrolled as a waiver participant in accordance with the requirements of COMAR 10.09.56 and this chapter; orB. The following requirements are met:. 1) The recipient, for whom free and appropriate education is provided under the Individuals with Disabilities Education Act, is 2 through 20 years old;
10.09.52.03.htm 10.09.52.03. 03 Conditions for Participation.. A. General requirements for participation in the Program are that a provider shall meet all the conditions for participation as set forth in COMAR 10.09.36.03.B. Specific requirements for participation in the Program as a provider of Service Coordination for Children with Disabilities are that a provider shall:1) Be an agency within the State that:. a) Operates programs with special education and related services for children with disabilities, in
10.09.52.04.htm 10.09.52.04. 04 Covered Services.. A. The Program shall reimburse for the services in §B―D of this regulation when the services have been documented, pursuant to the requirements of this chapter, as medically necessary.B. Initial IEP.. 1) Definition. “Unit of service” means:. a) A completed initial IEP, signed by all members of the IEP team; and. b) At least one contact by the participant’s service coordinator or IEP team in person or by telephone with the participant or the participant’s paren
10.09.52.04-1.htm 10.09.52.04-1. 04-1 Covered Services ― Autism Waiver Service Coordination ― General Requirements.. A. Autism Waiver Service Coordination is intended to:. 1) Assist a waiver participant in gaining access to the Autism Waiver services approved in the waiver participant's waiver plan of care;2) Assure coordination of the waiver participant's Autism Waiver services with other services received by the waiver participant; and3) Assure that the waiver participant's full range of needs are adequately
10.09.52.04-2.htm 10.09.52.04-2. 04-2 Covered Services ― Autism Waiver Service Coordination ― Specific Requirements.. A. Waiver Initial Assessment.. 1) Definition. For the purposes of this section, "unit of service" means:. a) A completed initial waiver plan of care, approved by MSDE and signed by the service coordinator, the waiver participant or the parent or parents of a minor child, and all other members of the waiver multidisciplinary team; or
10.09.52.05.htm 10.09.52.05. 05 Limitations.. A. Service Coordination for Children with Disabilities is advisory in nature except for Autism Waiver Service Coordination, covered under Regulations .04-1 and .04-2 of this chapter.B. A restriction may not be placed on a qualified recipient's option to receive the services covered under this chapter except that Autism Waiver Service Coordination, as defined by Regulations .04-1 and .04-2 of this chapter, is required for waiver eligible persons who choo
10.09.52.06.htm 10.09.52.06. 06 Payment Procedures.. A. Request for Payment.. 1) An approved provider shall submit requests for payment for the services covered under this chapter according to procedures established by the Program. The Program reserves the right to return to the provider, before payment, all requests not properly completed.2) A provider shall:. a) Bill the Program for the appropriate fee or fees specified in §C of this regulation;. b) Accept payment from the Program as payment in f
10.09.52.07.htm 10.09.52.07. 07 Recovery and Reimbursement.. Recovery and reimbursement are as set forth in COMAR 10.09.36.07..
10.09.52.08.htm 10.09.52.08. 08 Cause for Suspension or Removal and Imposition of Sanctions.. Cause for suspension or removal and imposition of sanctions is as set forth in COMAR 10.09.36.08..
10.09.52.09.htm 10.09.52.09. 09 Appeal Procedures.. Appeal procedures are those set forth in COMAR 10.09.36.09..
10.09.52.10.htm 10.09.52.10. 10 Interpretive Regulation.. State regulations are interpreted in accordance with COMAR 10.09.36.10..
10.09.52.9999.htm 10.09.52.9999. Administrative History Effective date:. Regulations .01―10 adopted as an emergency provision effective June 17, 1993 (20:14 Md. R. 1165) adopted permanently effective September 27, 1993 (20:19 Md. R. 1472)Regulations .01―06 amended as an emergency provision effective March 23, 1998 (25:8 Md. R. 595) amended permanently effective June 29, 1998 (25:13 Md. R. 993)Regulation .01B amended effective August 27, 2007 (34:17 Md. R. 1507) March 28, 2016 (43:6 Md. R. 407)
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