Code of Maryland Regulations (Last Updated: April 6, 2021) |
Title 10. Maryland Department of Health |
Part 2. |
Subtitle 09. MEDICAL CARE PROGRAMS |
Chapter 10.09.26. Community Based Services for Developmentally Disabled Individuals Pursuant to a 1915(c) Waiver |
Sec. 10.09.26.04. Covered Services for Services Coordination
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The Department shall reimburse for services coordination which shall include the following:
A. Convening the interdisciplinary team and conducting the team meeting for the development and revision of the ISP;
B. Assisting the waiver participant in identifying, negotiating, and obtaining needed services that are agreed upon and specified in the ISP;
C. Arranging, coordinating, and monitoring the delivery of services specified in the ISP;
D. Reassessing or arranging for the periodic reassessment of the waiver participant's needs and services;
E. Participating in the development of the waiver participant's initial IHP;
F. Participating in reviews of the waiver participant's IHP; and
G. Assisting the waiver participant in maximizing the use of the following sources of services and equipment in an effort to achieve the least costly, yet appropriate, delivery of services to the waiver participant:
(1) Services provided at no cost by governmental or charitable agencies, such as the Department of Social Services or the Department of Vocational Rehabilitation,
(2) Services covered by the Program or other third-party payors,
(3) Generic services covered by other programs,
(4) Services that can be paid for with the waiver participant's funds.