10.22.14.05

.05 Application and Eligibility.

A. An individual shall submit to the Department:

(1) The completed LISS application form;

(2) For applicants younger than 21 years old, one of the following, demonstrating that the applicant meets the eligibility requirements for LISS:

(a) A finalized Individual Educational Program (IEP) from the current calendar year that identifies an eligible disability and that is in effect as of the date of the LISS application; or

(b) A statement written by a licensed physician, confirming that the individual has an eligible disability;

(3) For applicants 21 years old or older, one of the following, demonstrating that the applicant meets the eligibility requirements for LISS:

(a) A statement written by a licensed physician within the last 3 years, confirming that the individual has an eligible disability;

(b) A psychological evaluation completed by a licensed professional within the last 3 years, confirming that the individual has an eligible disability;

(c) An evaluation completed by an Occupational Therapist, a Division of Rehabilitation Services evaluator, or another licensed professional within the last 3 years, confirming that the individual has an eligible disability; or

(d) A finalized IEP dated within 3 years after the date on which the applicant exited the school system, confirming that the individual has an eligible disability; and

(4) Upon request of the DDA, additional written evidence demonstrating that the criteria for specific services are met.

B. Eligibility.

(1) To be eligible for the Program, an individual:

(a) Shall be a Maryland resident and provide proof of address for the current calendar year;

(b) Shall have an eligible diagnosis;

(c) Shall provide proof of identity;

(d) May not be enrolled in any Maryland Medicaid home and community-based services waiver at the time of the random selection process, except that this restriction does not apply to applicants enrolled in the Maryland Model Waiver Program;

(e) May be enrolled in the Rare and Expensive Case Management (REM) Medicaid Program at the time of the random selection process;

(f) Shall submit a fully completed LISS application by the due dates established by the DDA; and

(g) Shall be selected by the random selection process.

(2) An individual currently receiving DDA services, other than coordination of community services, may not receive LISS funding under this chapter.

(3) An individual who received funding in Round 1 of the random selection process may not receive funding in Round 2 in the same fiscal year, even if the entire maximum amount of $2,000 was not awarded to the individual in Round 1.

C. The agency shall approve services for an eligible individual:

(1) Who is selected by the random selection process; and

(2) Whose requested services, items, and providers comply with the provisions of this chapter.