10.22.14.03

.03 Definitions.

A. In this chapter, the following terms have the meanings indicated.

B. Terms Defined.

(1) "Administration" means the Developmental Disabilities Administration (DDA) under the Maryland Department of HealtH.

(2) “Agency” means the selected licensed family and individual support program that administers the Program on behalf of the Administration.

(3) “Camp” means a day camp, residential camp, travel camp, or trip camp that:

(a) During a calendar year, accommodates seven or more campers who are unrelated to the operator;

(b) Provides primarily recreational activities or has a substantial recreational component; and

(c) Operates on private property or private facilities, whether leased or owned, public property, or public facilities.

(4) “Child care” means the care or supervision for an individual, younger than 21 years old, who has a disability or other emotional, developmental, physical, educational, or medical need necessitating child care when the individual’s parent or legal guardian gives the individual’s care over to another for some portion of a 24-hour day as a supplement to the parent’s or guardian’s primary care of the child.

(5) “Day care” means the care provided to an individual 21 years old or older, who has a disability or other emotional, developmental, physical, educational, or medical need necessitating care from an adult day care center.

(6) “Eligible disability” means the individual has a severe chronic disability that:

(a) Is attributable to a physical or mental impairment, other than the sole diagnosis of mental illness, or to a combination of physical and mental impairments; and

(b) Is likely to continue indefinitely.

(7) "Dietitian and nutritionist services" mean:

(a) Nutrition care planning, nutrition assessment, and dietetic instruction; and

(b) Services within the scope of practice of the nutritionist's or dietitian's license, as defined by:

(i) Health Occupations Article, Title 5, Annotated Code of Maryland; and

(ii) Regulations under COMAR 10.56 for the Board of Dietetic Practice.

(8) "Health services" means services:

(a) Provided by individuals regulated under the Health Occupations Article, Annotated Code of Maryland;

(b) That the respective licensing Board approves as a valid treatment for the presenting problem; and

(c) That include health assessments such as psychological, neuropsychological, dental, and speech-language assessments.

(9) Housing Adaptations and Barrier Removals.

(a) "Housing adaptations and barrier removals" means those physical adaptations or modifications to the individual’s or family’s home which are required to make it accessible to the individual because of the:

(i) Physical structure of the residence; or

(ii) Individual’s specific functional needs.

(b) "Housing adaptations and barrier removals" may include but are not limited to:

(i) Visual fire alarms;

(ii) Ramps;

(iii) Grab bars or handrails;

(iv) Stair glides;

(v) Widening of doorways;

(vi) Modification of bathroom or kitchen facilities to make them physically accessible;

(vii) Specialized electrical and plumbing systems to accommodate the medical equipment and supplies which are necessary for the individual's welfare;

(viii) Locks, buzzers, or other devices on doorways to prevent or stop wandering; and

(ix) Home modifications to help a individual identify the physical environment.

(10) “Most integrated setting” means a setting that enables individuals with disabilities to interact with non-disabled persons to the fullest extent possible.

(11) "Program" means the Low Intensity Support Services Program that the Administration operates by contracting with approved Agencies.

(12) “Random selection process” means a system used to identify the applicants who will be considered for funding during Round 1 and Round 2 of each fiscal year, by using an automated system that does not consider the identity or any other personal aspect of the applicants.

(13) "Services" means low intensity support services as describe in this chapter.

(14) Specialized Equipment and Assistive Technology.

(a) “Specialized equipment and assistive technology” means non-experimental technology or adaptive equipment which:

(i) Enables an individual to live in the community and to participate in community activities; and

(ii) Meets applicable standards of manufacture, design, usage, and installation.

(b) “Specialized Equipment and assistive technology” may include:

(i) Environmental control units for participants' homes to allow spontaneous or programmed control of household appliances and other home devices;

(ii) Devices with web-based operating systems, software, and computer accessories that enable participants to function more independently;

(c) Maintenance and repair of the covered assistive technology devices and equipment, as necessary;

(d) Augmentative communication and communication-enhancement devices;

(e) Aids for daily living and self-help aids used in activities such as eating, bathing, cooking, dressing, toileting, and home maintenance; and

(f) Equipment needed to adapt the individual's or family's automotive vehicle for personal transportation such as:

(i) Adaptive driving aids;

(ii) Hand controls; and

(iii) Wheelchair lifts, and other lifts used for personal transportation.

(15) “Therapy” means occupational, physical, speech, or behavioral therapy that is not funded by other State funded programs or by health insurance, including the Medical Assistance Program.

(16) “Therapeutic summer program” means a set of services designed to provide medical, behavioral, or psychological therapies, such as speech, applied behavior analysis, and occupational, through a variety of activities, in a safe environment, which are recommended by a licensed professional, and provided by clinical staff with clinical oversight.

(17) “Usual, customary, and reasonable” means the amount paid for a service in a geographic area that is based on what providers in the area typically charge for the same or similar service, so long as that charge is reasonable.