<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 07.02.15.05" title_num="07" subtitle_num="02" chapter_num="15" heading="Local Department Response.">
  <paragraph num="A.">
    <text>The local department shall collect the application and determine client’s eligibility and the type of service for which the applicant is appropriate.</text>
  </paragraph>
  <paragraph num="B.">
    <text>After determining eligibility and program appropriateness, the local department shall notify the adult or the adult’s representative in writing of the decision. If the decision is to:</text>
    <paragraph num="(1)">
      <text>Accept the application for service the notice shall include the facts that:</text>
      <paragraph num="(a)">
        <text>The adult is eligible for service and which service will be provided;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Type and amount of service to be provided; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The right to, and the method for, obtaining a fair hearing;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Place the client on a waitlist, the notice shall include the facts that:</text>
      <paragraph num="(a)">
        <text>The adult is eligible for service, however, due to a lack of funding or staff, services are not available at this time and the client will be placed on a waitlist for services;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Information directing the client or the client’s representative to contact the local department should the client’s need, risk level, or circumstances change; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The specific regulation supporting the reason; or</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Deny the application for service, and the notice shall include the:</text>
      <paragraph num="(a)">
        <text>Reason for the denial;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Specific regulation supporting the reason; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Right to and the method for, obtaining a fair hearing.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Service Appropriateness.</text>
    <paragraph num="(1)">
      <text>Information and Referral service is appropriate for an adult with generally adequate coping skills and who:</text>
      <paragraph num="(a)">
        <text>Has a question about the existence or availability of a resource in the community;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Requires a service not provided by the department but with minimum assistance can use another system providing the needed service; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Has a problem and is able to make independent decisions but refuses other services from the department.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Crisis Intervention service is appropriate for an adult whose normal coping patterns have failed and who:</text>
      <paragraph num="(a)">
        <text>Is experiencing a situational change;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Needs guidance in taking on a new role or achieving other adjustment; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Has at least minimal capacity for independent functioning.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Case Management service is appropriate for an adult who:</text>
      <paragraph num="(a)">
        <text>Seeks to achieve or maintain economic self-support;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Seeks to achieve or maintain self-sufficiency;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Seeks assistance navigating needed service systems;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Is at risk of abuse, neglect, exploitation, or self-neglect;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Requires service from the local department or other resource in order to be discharged from an institution;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Is discharged or released from a nursing institution has sufficient capacity for independent living and decision-making but requires service from the local department or other agency in order to secure appropriate resources to live in the community;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Is experiencing a crisis, examples of which include but are not limited to adults in the following circumstances:</text>
        <paragraph num="(i)">
          <text>Previously a recipient of community service, but no longer eligible;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Recently unemployed;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Homeless; or</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Recent loss of a spouse;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(h)">
        <text>Seeks to engage and enhance involvement with formal and informal resources;</text>
      </paragraph>
      <paragraph num="(i)">
        <text>Seeks to achieve successful personal outcomes; or</text>
      </paragraph>
      <paragraph num="(j)">
        <text>Requires In-Home Aide Services, Adult Foster Care, or who is eligible and waiting for placement in a CARE home.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>