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<regulation prefix="Regulation" num=".02" citation="COMAR 07.02.18.02" title_num="07" subtitle_num="02" chapter_num="18" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meaning indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Administration” means the Social Services Administration of the Department of Human Services.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Applicant” means an individual with a developmental or functional disability, a family member, a caregiver, or an authorized representative of the individual with the disability, who is applying for respite services.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Consumer” means an individual with a developmental or functional disability, who receives respite care services.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Developmental disability” means a severe, chronic disability which:</text>
      <paragraph num="(a)">
        <text>Is attributable to a mental or physical impairment or a combination of physical and mental impairments, including a head injury;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is manifested before an individual is 22 years old;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Is likely to continue indefinitely;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Results in a substantial functional limitation in three or more of the following areas of major life activity:</text>
        <paragraph num="(i)">
          <text>Self-care;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Receptive and expressive language;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Learning;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Mobility;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Self-direction;</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Capacity of independent living; and</text>
        </paragraph>
        <paragraph num="(vii)">
          <text>Economic self-sufficiency; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(e)">
        <text>Reflects an individual's need for a combination and sequence of special interdisciplinary or generic care, treatment, or other services which are lifelong or of extended duration and are individually planned and coordinated.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>“Family” means one or more adults, with or without children, related by blood, marriage, adoption, or legal guardianship, and domestic partners residing in the same household with an individual with a developmental or functional disability.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Foster Home” means a certified Department of Human Services foster home.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Functional disability” means a severe, chronic disability which:</text>
      <paragraph num="(a)">
        <text>Is attributable to a mental or physical impairment or combination of mental and physical impairments;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is likely to continue indefinitely;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Results in substantial functional limitations in three or more of the following areas of major life activity:</text>
        <paragraph num="(i)">
          <text>Self-care;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Receptive and expressive language;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Learning;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Mobility;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Self-direction;</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Capacity for independent living; and</text>
        </paragraph>
        <paragraph num="(vii)">
          <text>Economic self-sufficiency; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>Reflects an individual's need for a combination and sequence of special interdisciplinary or generic care, treatment, or other services which are lifelong or of extended duration and are individually planned and coordinated.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(8)">
      <text>“Informal caregiver" means the individual who routinely cares for the individual with a developmental or functional disability and is not compensated for the care. The informal caregiver may live in a residence other than that of the individual with the disability.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Level I care” means supervisory and personal care, and may include any or all of the following:</text>
      <paragraph num="(a)">
        <text>Household and personal assistance services, which include light housekeeping services, chore services, assistance with meals and special diets, food preparation, dressing, shopping, escort service, writing letters, and reading to consumers; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Personal care services in accordance with the service plan.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(10)">
      <text>“Level II care” means skilled care delivered by a licensed health care provider or a certified skilled professional.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Licensed Health Care Provider” means is an individual or an institution that provides preventive, curative, promotional or rehabilitative health care services in a systematic way to individuals, families or communities.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Local department” means the department of social services in a county or Baltimore City or the Montgomery County Department of Health and Human Services.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>“Provider” means a public or private nonprofit agency or local department, which provides respite care services under a contractual agreement with, or direct grant from, the Administration or a local department.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>“Qualified care worker” means a person who, by training, experience, or authorization is qualified to deliver the care needed and who has been designated as such by a respite services provider or the family caregiver.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“Respite care” means short-term periodic and temporary care of individuals with developmental or functional disabilities in order to temporarily relieve the family or informal caregiver.</text>
    </paragraph>
    <paragraph num="(16)">
      <text>“Respite care facility” means a designated program, location, private home or center, outside of the consumer's residence, where respite care is provided.</text>
    </paragraph>
    <paragraph num="(17)">
      <text>“Service statement” means a written document which records pertinent information the provider considers essential for providing respite care services, including:</text>
      <paragraph num="(a)">
        <text>Eligibility;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Amount and level of respite care services;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Any fee required;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Records referring the applicant to other sources for services identified as needed, but not available from the provider; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Assessment of the family's respite care needs.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(18)">
      <text>“Subsidy” means funds available from the Administration to assist in the payment of respite care service fees, if the total income of a consumer, or the family of a consumer who is younger than 18 years old is less than 150 percent of the State's median income adjusted to family size.</text>
    </paragraph>
    <paragraph num="(19)">
      <text>“Total income” means the sum of income received by the consumer, or the family of a consumer, if the consumer is under 18, and is eligible for respite care services minus medical expenses.</text>
    </paragraph>
  </paragraph>
</regulation>