Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 2 › Subtitle 09 - MEDICAL CARE PROGRAMS › Chapter 10.09.38 - Healthy Start Program › Section 10.09.38.01 - 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) "Department" means the State Department
				  of Health and Mental Hygiene.
(2)
				  "Dietitian or nutritionist" means an individual who:
(a) Meets the licensing requirements in
				  Regulation .02D of this chapter;
(b) Meets the conditions of participation in
				  Regulation .03A and D of this chapter; and
(c) Has a provider agreement with the
				  Department as a Program provider of dietary and nutrition services.
(3) "Enriched maternity service"
				  means direct counseling, educational, case coordination, and referral services
				  provided to a pregnant or postpartum recipient by or under the supervision of a
				  physician or nurse midwife in conjunction with the clinical services provided
				  by the physician or nurse midwife during the prenatal or postpartum
				  visit.
(4) "Family support center"
				  means a community-based and operated center which provides parenting education,
				  health education, child development assessment services, education and job
				  skill development services, and social support services to families.
(5) "Healthy Start High-Risk Nutrition
				  Instrument" means the form designated by the Department for the purpose of
				  identifying pregnant participants in need of high-risk nutrition counseling
				  services.
(6) "Healthy Start
				  Prenatal Risk Assessment Instrument" means the form furnished by the Department
				  to the provider for the purposes of documenting the results of the prenatal
				  risk assessment and developing the participant's plan of care.
(7) "Healthy Start Program" means a program
				  designed to identify and address medical, nutritional, and psychosocial
				  predictors of poor birth outcomes and poor child health by providing enhanced
				  prenatal and postpartum services to pregnant and postpartum
				  recipients.
(8) "High-risk
				  nutrition counseling services" means educational services provided to
				  nutritionally high-risk pregnant participants by a dietitian or
				  nutritionist.
(9) "Local health
				  department" means the local agency responsible for ensuring the availability of
				  basic public health services in each local jurisdiction, and for administering
				  and enforcing certain State and local health laws and regulations.
(10) "Maternal and Child Health Services
				  Block Grant" means funds allotted by the federal government under Title V of
				  the Social Security Act.
(11)
				  "Medical Assistance Program" means a program of comprehensive medical and other
				  health-related care for indigent and medically indigent persons.
(12) "Nurse" means an individual who is
				  licensed as a registered nurse in the state in which services are
				  provided.
(13) "Nurse midwife"
				  means an individual who:
(a) Meets the
				  licensing requirements of Regulation .02A of this chapter;
(b) Meets the conditions of participation in
				  Regulation .03A-C of this chapter; and
(c) Has a provider agreement with the
				  Department as a Program provider of nurse midwife services.
(14) "Participant" means a
				  pregnant or postpartum recipient who:
(a)
				  Enters the Healthy Start Program during a medically verified pregnancy, or up
				  to 60 days after delivery;
(b) May
				  continue in the program receiving postpartum family planning services up to 60
				  days after the delivery; and
(c)
				  Elects to receive the services available under these regulations.
(15) "Physician" means a doctor of
				  medicine or osteopathy who:
(a) Is licensed
				  to practice medicine in the state in which services are provided;
(b) Has a provider agreement with the
				  Department as a Program provider of physician services; and
(c) Meets the conditions of participation in
				  Regulation .03A-C of this chapter.
(16) "Program" means the Maryland Medical
				  Assistance Program.
(17) "Provider"
				  means a qualified provider of services under the Healthy Start Program who
				  meets the conditions of participation in Regulation .03 of this
				  chapter.
(18) "Provider agreement"
				  means a contract between the Department and the provider.
(19) "Recipient" means an individual who is
				  certified for and is receiving Medical Assistance benefits.
(20) "Risk assessment-plan of care" means a
				  package of services provided to a pregnant participant by or under the
				  supervision of a physician or nurse midwife in conjunction with the clinical
				  services provided by the physician or nurse midwife, to include:
(a) A comprehensive risk assessment
				  appraising the participant's medical history and current health, nutritional,
				  psychological, and social status; and
(b) An individualized plan of care developed
				  by the provider in consultation with the participant.
(21) "Social worker" means a person who is
				  licensed as a social worker in the state in which services are
				  provided.
(22) "Special
				  Supplemental Nutrition Program for Women, Infants, and Children (WIC)" means
				  the federally funded program authorized under an amendment to the Child
				  Nutrition Act of 1966 ( PL 94-105) to provide supplemental foods and nutrition
				  education to pregnant and postpartum women, infants, and young children from
				  families with low incomes who are at risk by reason of inadequate nutrition or
				  health care.
(23) "Tertiary care
				  maternity center" means a facility with all necessary equipment and personnel
				  specifically trained to care for high-risk obstetrical patients and with the
				  capability to perform all necessary tests and obstetrical procedures 24 hours a
				  day.