<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 07.03.05.05" title_num="07" subtitle_num="03" chapter_num="05" heading="Eligibility Determination.">
  <paragraph num="A.">
    <text>Medical Findings.</text>
    <paragraph num="(1)">
      <text>An individual shall provide, on the required State form, adequate medical findings to support the application for assistance.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>If an individual does not have the resources to obtain necessary medical findings to verify the impairment, the individual's physician shall be paid from administrative funds:</text>
      <paragraph num="(a)">
        <text>A fee of up to $60; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The costs of laboratory work for each examination according to Maryland Department of Health schedules, but not to exceed $40.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>If the individual has Medical Assistance coverage, the health care provider completing the examination and the required State form may not be paid through administrative funds.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>A local department or the Department may:</text>
      <paragraph num="(a)">
        <text>Contract with an entity to provide the necessary medical findings to verify the impairment; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Require individuals applying, as a condition of eligibility for assistance, to use that entity to provide those necessary medical findings.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Determination of Eligibility.</text>
    <paragraph num="(1)">
      <text>The local department shall:</text>
      <paragraph num="(a)">
        <text>Make the decision on the application according to COMAR 07.03.01;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Conduct an interview with the individual at the time of application; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Verify all factors of:</text>
        <paragraph num="(i)">
          <text>Impairment;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Resources; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Income.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Medical Reports.</text>
      <paragraph num="(a)">
        <text>An applicant shall support the application for TDAP with a medical report before a decision is made on eligibility.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The medical report shall:</text>
        <paragraph num="(i)">
          <text>Contain a statement of the nature and estimated duration of the disabilities;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Specify whether a medical diagnosis of substance abuse is indicated; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Be signed by the examining physician.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>The applicant shall sign a release permitting the State to obtain and use copies of all medical reports, held by any source, that pertain to the applicant.</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The local department or the SRT may request additional medical information, including, if necessary, laboratory testing, to determine eligibility or to establish an eligibility period.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Eligibility Period.</text>
    <paragraph num="(1)">
      <text>The eligibility period is determined by the local department from the estimated duration of the disability on the completed medical report.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The eligibility period determined by the local department may:</text>
      <paragraph num="(a)">
        <text>Be less than the estimated recovery time indicated on the medical report; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Not exceed the estimated recovery time indicated on the medical report.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>An applicant whose eligibility period as described in §C(1) and (2) of this regulation is at least 3 months but less than 12 months shall be certified for not more than 9 months in a 36-month period.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>An applicant who is determined by the local department to be impaired and unlikely to recover in less than 12 months shall be certified for not more than 12 months if the individual:</text>
      <paragraph num="(a)">
        <text>Is pursuing SSI eligibility; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Remains TDAP eligible.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>The local department may establish additional eligibility periods of not more than 12 months if the individual:</text>
      <paragraph num="(a)">
        <text>Reapplies;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is determined to be eligible; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Continues to pursue the individual's SSI benefit claim.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>The local department shall adjust the eligibility period as necessary to prevent the individual from receiving assistance for more than 9 months in a 36-month period if the individual:</text>
      <paragraph num="(a)">
        <text>Withdraws the application for SSI; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Has been finally denied SSI benefits.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>The local department may establish additional eligibility periods of not more than 12 months if the individual:</text>
      <paragraph num="(a)">
        <text>Reapplies;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is determined to be eligible; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Continues to pursue the individual's SSI benefit claim.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(8)">
      <text>The local department shall adjust the eligibility period as necessary to prevent the individual from receiving assistance for more than 9 months in a 36-month period if the individual:</text>
      <paragraph num="(a)">
        <text>Withdraws the application for SSI; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Has been finally denied SSI benefits.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(9)">
      <text>Eligibility automatically ends at the end of the eligibility period unless the individual reapplies and establishes a new eligibility period.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Eligibility for the entire month is established when an individual meets all eligibility requirements for any portion of the month.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Rehabilitation Requirements.</text>
    <paragraph num="(1)">
      <text>During the eligibility period, if there are available resources, the local department may require the individual as a condition of continuing eligibility to:</text>
      <paragraph num="(a)">
        <text>Participate in appropriate medical treatment as determined by the local department consistent with the medical findings obtained under §A of this regulation; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Undergo screening by a certified addictions specialist:</text>
        <paragraph num="(i)">
          <text>To determine the need for substance abuse treatment; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>If found to be in need of substance abuse treatment, to participate in appropriate treatment if available.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>An individual who fails to participate in one or more activities required under §E of this regulation without good cause, as described in Regulation .16D of this chapter, is ineligible for benefits.</text>
    </paragraph>
  </paragraph>
</regulation>