Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 2 › Subtitle 09 - MEDICAL CARE PROGRAMS › Chapter 10.09.52 - Service Coordination for Children with an IEP or Enrolled in the Autism Waiver › Section 10.09.52.01 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
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" or "Waiver"
				  means the Home and Community-Based Services Waiver for Children with Autism
				  Spectrum Disorder.
(3) "Autism
				  Waiver Service Coordination" means the coordination of waiver services covered
				  under this chapter.
(4) "Autism
				  Waiver Service Coordinator" means an individual who meets the requirements
				  specified in Regulation .03-1 of this chapter and provides the autism waiver
				  services specified in Regulations .04-1-04.2 of this chapter to a waiver
				  participant.
(5) "Department" has
				  the meaning stated in COMAR
				  10.09.36.01B.
(6) "Home and Community-Based
				  Services Waiver for Children with Autism Spectrum Disorder" means the program
				  implemented under COMAR 10.09.56 in accordance with the document and any
				  amendments to it submitted by the Department to, and approved by, the Secretary
				  of the U. S. Department of Health and Human Services, which authorizes the
				  waiver, pursuant to Section 1915(c) of Title XIX of the Social Security Act, of
				  certain specified statutory requirements limiting coverage for home and
				  community-based services under the Medical Assistance Program.
(7) "IEP service coordination" means the
				  coordination of services which assists a participant in gaining access to the
				  services recommended in the participant's IEP.
(8) "IEP service coordinator" means an
				  individual who meets the requirements in Regulation .03C of this
				  chapter.
(9) "Individualized
				  Education Program (IEP)" means a written, individualized plan of care for a
				  participant, that:
(a) Is developed by an IEP
				  team on a form approved by MSDE;
(b) Recommends the special education and
				  related services to meet a participant's needs; and
(c) Conforms with the requirements in COMAR
				  13A.05.01 and 34 CFR
				  §§
													300.320 -300-324.
(10) "Individualized education
				  program (IEP) team" means the multidisciplinary team convened by a provider in
				  accordance with COMAR 13A.05.01 to review a participant's needs, develop the
				  participant's IEP, and determine the placement of the participant in the least
				  restrictive environment.
(11)
				  "Individualized family service plan (IFSP)" means a written, individualized
				  plan for providing early intervention and other services for an infant,
				  toddler, or preschool-age child, in accordance with COMAR 13A.13.01.
(12) "Local lead agency" means the agency
				  designated by the local governing authority in each jurisdiction to administer
				  the interagency system of early intervention services under the direction of
				  the Maryland State Department of Education.
(13) "Local school system (LSS)" means any public
				  school system in Maryland responsible for providing public elementary or
				  secondary education.
(14)
				  "Maryland Medicaid Managed Care Program" has the meaning stated in COMAR
				  10.67.01.01.
(15) "Maryland State
				  Department of Education (MSDE)" is the agency responsible for ensuring that all
				  children with disabilities residing in the State are identified, assessed, and
				  provided with a free, appropriate public education consistent with State and
				  federal laws.
(16) "Medically
				  necessary" has the meaning stated in COMAR
				  10.09.36.01B.
(17) "Parent" has the meaning
				  stated in COMAR 13A.13.01.03.
(18)
				  "Participant" means an individual who meets the qualifications for
				  participation in the services covered under this chapter, as specified in
				  Regulation .02 of this chapter.
(19) "Program" has the meaning stated in
				  COMAR 10.09.36.01B.
(20) "Provider" means an agency
				  which meets the conditions for participation, as specified in Regulation .03 of
				  this chapter.
(21) "Qualified
				  diagnostician" means an individual whose license or certification permits
				  diagnosis of Autism Spectrum Disorder.
(22) "Rare and expensive case management (REM)" has
				  the meaning stated in COMAR 10.09.69.02.
(23) "Telehealth" has the meaning as stated
				  in COMAR 10.09.49.02.
(24) "Waiver
				  eligible person" means an individual who meets the qualifications, as specified
				  in COMAR 10.09.56, for participation in the Autism Waiver.
(25) "Waiver multidisciplinary team" means
				  the team, consistent with the Individuals with Disabilities Education Act
				  (IDEA), which is convened for a waiver applicant or waiver
				  participant.
(26) "Waiver
				  participant" means a child whose enrollment meets the requirements set forth in
				  COMAR 10.09.56.
(27) "Waiver plan
				  of care" means the written, individualized treatment plan which preauthorizes
				  the specific Autism Waiver services to be provided to a waiver participant, as
				  covered under COMAR 10.09.56.