Sec. 10.21.25.10. Fee Schedule — Services — Traumatic Brain Injury (TBI) Waiver Program  


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  • A. Residential Habilitation Services. The Department shall reimburse a program approved under COMAR 10.09.46 to provide residential habilitation services to an individual who is enrolled in the TBI Waiver Program:

    (1) At the following rates:

    (a) Level I ... $192.76 per day;

    (b) Level II ... $255.24 per day;

    (c) Level III ... $353.11 per day;

    (2) According to the need for the level of support documented in an individual's waiver plan of care and approved by the Administration; and

    (3) According to the institutional level of care determined by the Department's utilization control agent.

    B. Day Habilitation Services. The Department shall reimburse a program approved under COMAR 10.09.46 to provide day habilitation services to an individual who is enrolled in the TBI Waiver Program:

    (1) At the following rates:

    (a) Level I ... $49.76 per day;

    (b) Level II ... $86.81 per day;

    (c) Level III ... $122.14 per day;

    (2) According to the need for the level of support documented in an individual's waiver plan of care and approved by the Administration; and

    (3) According to the institutional level of care determined by the Department's utilization control agent.

    C. Supported Employment Services. The Department shall reimburse a program approved under COMAR 10.09.46 to provide supported employment services to an individual who is enrolled in the TBI Waiver Program:

    (1) At the following rates:

    (a) Level I ... $29.53 per day;

    (b) Level II ... $49.76 per day;

    (c) Level III ... $122.14 per day;

    (2) According to the need for the level of support documented in an individual's waiver plan of care and approved by the Administration; and

    (3) According to the institutional level of care determined by the Department's utilization control agent.

    D. Individual Support Services. The Department shall reimburse a program approved under COMAR 10.09.46 to provide individual support services, as defined in COMAR 10.22.07, to an individual who is enrolled in the TBI Waiver Program at a rate of $24.14 per hour, not to exceed 8 hours per day.