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<section article="ghg" article_name="Health - General" number="14-2A-02" effective_note="EFFECTIVE UNTIL DECEMBER 31, 2025 PER CHAPTER 437 OF 2022" title_number="14" title_name="General Day Care" subtitle_number="2A" subtitle_name="Howard County and Montgomery County Adult Day Health Care Services Pilot Program and Task Force. [Subtitle Subject to Abrogation]">
  <level label="a">
    <text>This section applies only in Howard County and Montgomery County.</text>
  </level>
  <level label="b">
    <level label="1">
      <text>There is a Howard County and Montgomery County Adult Day Health Care Services Pilot Program.</text>
    </level>
    <level label="2">
      <text>The purpose of the pilot program is to integrate the provision of medical adult day care services, home health care services, and medical services provided under the Maryland Medical Assistance Program.</text>
    </level>
  </level>
  <level label="c">
    <text>Participation in the pilot program is limited to elderly individuals who are:</text>
    <level label="1">
      <text>Residents of Howard County or Montgomery County; and</text>
    </level>
    <level label="2">
      <text>Receiving medical adult day care services, home health care services, or medical services provided under the Maryland Medical Assistance Program, including medical services that are offered by a managed care organization.</text>
    </level>
  </level>
  <level label="d">
    <text>Services provided under the pilot program shall include, when applicable:</text>
    <level label="1">
      <text>An evaluation and assessment of each pilot program participant by a licensed nurse to complete an interdisciplinary care plan for the participant;</text>
    </level>
    <level label="2">
      <text>The provision of remote services to the participant, using an electronic device with video conferencing capability issued to the participant to facilitate communication with providers;</text>
    </level>
    <level label="3">
      <text>The creation of a medication strategy for the participant in order to provide appropriate evaluation and monitoring of the administration of medications;</text>
    </level>
    <level label="4">
      <text>A program of activities and social engagement to assist participants in reducing loneliness and depression and to develop a sense of community with other participants;</text>
    </level>
    <level label="5">
      <text>Coordination of medical care and other services ordered by a physician for the purpose of allowing participants to live safely in their home environment;</text>
    </level>
    <level label="6">
      <text>The provision of basic housekeeping services to assist participants in daily activities that may be challenging; and</text>
    </level>
    <level label="7">
      <text>The provision of transportation and delivery of meals.</text>
    </level>
  </level>
  <level label="e">
    <level label="1">
      <text>Howard County and Montgomery County jointly may designate and authorize the operation of one or more entities to serve as an integrator in Howard County and Montgomery County.</text>
    </level>
    <level label="2">
      <text>An integrator shall be licensed in the State to provide at least one of the services to be included in the pilot program.</text>
    </level>
  </level>
  <level label="f">
    <text>In consultation with Howard County and Montgomery County, an integrator shall coordinate all services provided under the pilot program.</text>
  </level>
</section>
