Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 2 › Subtitle 09 - MEDICAL CARE PROGRAMS › Chapter 10.09.78 - Home Visiting Services › Section 10.09.78.01 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. The following
				  terms have the meanings indicated.
B. Terms Defined.
(1) "Department" means the Maryland
				  Department of Health, the single State agency designated to administer the
				  Maryland Medical Assistance Program under Title XIX of the Social Security Act,
				  42 U.S.C. §§
												1396 et seq.
(2) "Evidence-based home visiting model"
				  means a voluntary early childhood strategy program that includes focused,
				  individualized, and culturally competent services for expectant parents, young
				  children, and their families designed to enhance parenting and promote the
				  growth and development of young children.
(3) "Home" means the program participant's
				  place of service in a community setting defined by the evidence-based home
				  visiting models.
(4) "Home visiting
				  program" means the organization or entity accredited by an evidence-based home
				  visiting model to provide home visiting services under that model.
(5) "Home visiting services" means services
				  provided during the prenatal and postpartum periods in the program
				  participant's home by the home visiting program, including but not limited to:
(a) Pregnancy education;
(b) Child development education;
(c) Diet and nutritional education;
(d) Stress management;
(e) Sexually transmitted diseases (STD)
				  prevention education;
(f) Tobacco
				  use screening and cessation education;
(g) Alcohol and other substance misuse
				  screening and counseling;
(h)
				  Depression screening;
(i)
				  Postpartum depression education;
(j) Domestic and intimate partner violence
				  screening and education;
(k)
				  Breastfeeding support and education;
(l) Guidance and education with regard to
				  well woman visits to obtain recommended preventive services;
(m) Maternal-infant safety assessment and
				  education;
(n) Counseling regarding
				  postpartum recovery, family planning, and needs of a newborn;
(o) Assistance for the family in establishing
				  a primary source of care and a primary care provider;
(p) Parenting skills, parent-child
				  relationship building, and confidence building;
(q) Child developmental screening at major
				  developmental milestones from birth to two years old;
(r) Facilitation of access to community or
				  other resources that can improve birth-related outcomes such as:
(i) Transportation;
(ii) Housing;
(iii) Alcohol, tobacco, and drug cessation;
				  and
(iv) WIC, SNAP, and intimate
				  partner violence resources;
(s) Monitoring for high blood pressure or
				  other complications of pregnancy; and
(t) Medical assessment of the postpartum
				  mother and infant.
(6)
				  "Medically necessary" means that the service or benefit is:
(a) Directly related to diagnostic,
				  preventive, curative, palliative, rehabilitative, or ameliorative treatment of
				  an illness, injury, disability, or health condition;
(b) Consistent with current accepted
				  standards of good medical practice;
(c) The most cost-efficient service that can
				  be provided without sacrificing effectiveness or access to care; and
(d) Not primarily for the convenience of the
				  consumer, family, or provider.
(7)"Postpartum period" means the period that
				  begins immediately after childbirth up to a period of time following childbirth
				  as defined by the evidence-based home visiting model.
(8) "Prenatal period" means the developmental
				  period between conception and birth.
(9) "Program" means the Maryland Medical
				  Assistance Program.
(10) "Program
				  participant" means one of the following individuals enrolled in the
				  evidence-based home visiting model:
(a)
				  Birthing parent;
(b)
				  Infant;
(c) Child up to the age
				  permitted under the evidence-based home visiting model; or
(d) Other individuals, as recognized under
				  the evidence-based home visiting model.
(11) "Provider" means a qualified individual
				  licensed or certified to deliver home visiting services as a part of an
				  evidence-based home visiting model.