<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 07.02.19.04" title_num="07" subtitle_num="02" chapter_num="19" heading="Application for Services.">
  <paragraph num="A.">
    <text>The local department shall screen an applicant's completed application for CARE services on forms prescribed by the Administration. A complete application comprises the following information:</text>
    <paragraph num="(1)">
      <text>A completed Project Home application form.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A health history and the applicant's most recent health assessments; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Consent forms signed by the applicant for the release of information to the local department by:</text>
      <paragraph num="(a)">
        <text>Appropriate health professionals; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Legitimate sources of financial information.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>If the applicant has been found not eligible, the local department shall send written notice to the applicant which shall include the reason for the decision.</text>
  </paragraph>
  <paragraph num="C.">
    <text>If a service slot is not available for an eligible applicant, the local department shall:</text>
    <paragraph num="(1)">
      <text>Rank the applicant according to §E(1) of this regulation; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Notify the applicant in writing within 30 days of receipt of the complete application that the applicant:</text>
      <paragraph num="(a)">
        <text>Has been placed on a waiting list; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>May be eligible for referral to other services through the local department.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>If an applicant is found eligible and a service slot is available the local department shall assign a case manager to:</text>
    <paragraph num="(1)">
      <text>Complete a comprehensive assessment of the applicant's capacities and needs in a community living situation;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Establish the level of care required by the applicant by considering the following characteristics of the applicant:</text>
      <paragraph num="(a)">
        <text>Illnesses and disabilities which may require medical or corrective treatment;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Ability to perform physical self-maintenance activities;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Ability to perform basic activities of daily life; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Level of cognitive functioning, emotional and behavioral controls, and social competence;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Determine the amount of income and other resources available to pay for placement;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Determine the availability of an appropriate CARE home;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Decide with the applicant whether CARE service is appropriate;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Send a written notice to the applicant, within 30 days of the case manager's assignment of the case, of the application decision which shall include:</text>
      <paragraph num="(a)">
        <text>For acceptance:</text>
        <paragraph num="(i)">
          <text>Decision;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Reason for the decision;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Level of care to be provided;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Fact that an appropriate CARE home is or is not available, or that the applicant agreed that the local department shall seek a placement for the applicant in another jurisdiction; and</text>
        </paragraph>
        <paragraph num="(v)">
          <text>The resident's right to appeal any part of the decision as provided in COMAR 07.01.04, and the method for obtaining a fair hearing; or</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>For denial:</text>
        <paragraph num="(i)">
          <text>Decision;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Reason for the decision;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Specific regulation supporting the decision; and</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Applicant's right to appeal the decision as provided in COMAR 07.01.04 and the method for obtaining a fair hearing; and</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>If the local department is unable to place an eligible applicant, refer to §E(1) of this regulation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Priority for Service.</text>
    <paragraph num="(1)">
      <text>Based on the applicant's situation at the time of application, an applicant is ranked on the following descending point system:</text>
      <paragraph num="(a)">
        <text>Applicant is in an abusive situation, or is under public guardianship (15 points);</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Applicant is at high risk of institutional placement or continued institutional placement without supervised housing (15 points);</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Relative caregiver is 60 years old or older (15 points);</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Applicant is dependent on an unreliable or overburdened caregiver for daily needs (10 points);</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Applicant is homeless or facing homelessness and is unable to use independent housing (10 points);</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Relative caregiver suffers from a physical or mental disability that is a barrier to caring for the applicant or the caregiver is caring for another disabled family member (10 points);</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Applicant's income is below the poverty level (10 points);</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Applicant is lacking family or community supports necessary for coping with daily living (5 points);</text>
      </paragraph>
      <paragraph num="(i)">
        <text>Applicant is a recipient of Supplemental Security Income (SSI) (5 points); or</text>
      </paragraph>
      <paragraph num="(j)">
        <text>Applicant's income is below the State median income as specified in COMAR 07.02.04.08 (5 points).</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Applicants who have equal points under §E(1) of this regulation and are equally appropriate for an available slot shall be offered service in the order in which the local department received the applications for service.</text>
    </paragraph>
  </paragraph>
</regulation>