Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 22 - DEVELOPMENTAL DISABILITIES › Chapter 10.22.14 - Low Intensity Support Services (LISS) Program › Section 10.22.14.03 - 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) "Administration" means the Developmental
				  Disabilities Administration (DDA) under the Department of Health and Mental
				  Hygiene.
(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) Enables an
				  individual to live in the community and to participate in community activities;
				  and
(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.