Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 22 - DEVELOPMENTAL DISABILITIES › Chapter 10.22.18 - Community Supported Living Arrangements Payment System › Section 10.22.18.02 - 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) "Actual costs" means all direct and
				  indirect costs that the provider incurs for labor performed or goods
				  delivered.
(2) "Administration"
				  means the Developmental Disabilities Administration.
(3) "Base services" means services covered by
				  the rate.
(4) "Community Supported
				  Living Arrangements (CSLA)" has the meaning stated in COMAR
				  10.22.01.01B(12).
(5) "Department" means the Department of
				  Health and Mental Hygiene.
(6)
				  "Direct services" means services provided directly to the individual.
(7) "Existing services" means a service
				  provided continuously to an individual by the same provider beginning on or
				  before June 30, 2000.
(8) "Fiscal
				  management services (FMS)" means a person approved by the Administration and
				  designated as an Organized Health Care Delivery System under COMAR 10.22.20
				  that:
(a) Assists individuals and families in
				  managing their funds and paying for services; and
(b) Is responsible for submitting financial
				  reports to the individual and Administration.
(9) "Hours of service" means the
				  preauthorized hours of direct services made available to the individual being
				  served as identified in the individual plan.
(10) "Individual plan (IP)" has the meaning
				  stated in COMAR
				  10.22.01.01B(27).
(11) "Licensee" means a provider of Community
				  Supported Living Arrangement services licensed under COMAR
				  10.22.02.01A.
(12) "New individuals" means those
				  individuals starting Community Supported Living Arrangements services with a
				  licensee after June 30, 2000.
(13)
				  Professional Services.
(a) "Professional
				  services" means services provided by an individual authorized to perform these
				  services under Health Occupations Article, Annotated Code of
				  Maryland.
(b) "Professional
				  services" includes but is not limited to direct, on- going nursing services and
				  behavioral services provided in accordance with COMAR 10.22.10.
(14) "Rate" means the amount the
				  Department pays for an hour of CSLA service and covers all actual costs
				  incidental to providing the service, including but not limited to coordination
				  of the service; nursing review of services; administrative costs; staff hiring,
				  training, travel, and supervision; and program direction. The hours of service
				  are used to determine the rate.
(15) "Self-directed services" means services,
				  as approved by the Administration:
(a) That an
				  individual arranges; and
(b) For
				  which the individual reimburses the provider.
(16) "Supplemental services" means
				  preauthorized services not covered by the rate.
(17) "Support broker" means a person employed
				  by individuals and families, who have been determined eligible by the
				  Administration, that helps them:
(a) Decide
				  what services and supports are best for them; and
(b) Access and manage the chosen services and
				  supports.