Sec. 10.09.50.04. Covered Services

A. The Program covers the services listed in §B of this regulation when the services are:

(1) Necessary to identify the need for a health-related service or health-related early intervention service that may be furnished as part of an IEP or an IFSP;

(2) Necessary to:

(a) Prevent disease, disability, and other health conditions or their progression; and

(b) Promote physical and mental health and efficiency;

(3) Necessary for the maximum reduction of physical or mental disability and restoration of a participant to the participant's best possible functional level;

(4) Rendered in accordance with accepted professional standards; and

(5) Delivered in accordance with an IEP or an IFSP, which is developed at the time of referral for health-related services or health-related early intervention services.

B. The following services are covered under this chapter:

(1) Audiology services delivered in accordance with an IEP or an IFSP, which include the identification, evaluation and treatment of auditory impairments;

(2) Nursing services delivered in accordance with an IEP or an IFSP, which:

(a) Are related to an identified health problem;

(b) Except for nursing assessments, are ordered by a licensed prescriber;

(c) Are indicated in the nursing care plan, which is reviewed at least every 60 days and more frequently when the child's medical condition changes; and

(d) Require the judgment, knowledge, and skills of a licensed nurse;

(3) Nutrition services which include conducting assessments of nutritional history and dietary intake and developing and monitoring appropriate plans to address a participant’s nutritional needs in accordance with an IFSP;

(4) Occupational therapy services delivered in accordance with an IEP or an IFSP, which include any screening, evaluations, or treatments necessary to implement a program of activities, with the goal to develop or maintain the adaptive skills necessary to achieve a participant’s adequate and appropriate physical and mental functioning;

(5) Physical therapy services delivered in accordance with an IEP or an IFSP, which include screening and evaluations necessary to determine a participant’s level of functioning, as well as any treatment, which may use therapeutic exercises for the purpose of preventing, restoring, or alleviating a movement dysfunction and related functional problems;

(6) Psychological services delivered in accordance with an IEP or an IFSP, which include the evaluation, diagnosis, and treatment of emotional or behavioral problems in order for a participant to benefit from an educational or early intervention program including the counseling of parents and parent training when the participant is present;

(7) Speech-language pathology services delivered in accordance with an IEP or an IFSP, which include, diagnosis, evaluation, or treatment; and

(8) Therapeutic behavior services which:

(a) Includes one-to-one services by a trained therapeutic behavior aide delivered in accordance with the IEP or IFSP; and

(b) Is supervised by a licensed physician or authorized practitioner under Health Occupations Article, Annotated Code of Maryland.