Regulation .06 Limitations.
Regulation .06 Limitations.LinkCopy Citation
A.
Medical day care services are not covered for:
(1)
Individuals who do not meet the definition of “participant” in Regulation .01B of this chapter; and
(2)
Individuals younger than 16 years old.
B.
Covered services do not include:
(1)
Days of service in excess of the frequency specified in the participant’s home and community based services waiver service plan;
(2)
Services which are not part of those services listed in Regulation .05 of this chapter;
(3)
Services for a number of participants that exceeds the provider’s licensed capacity on a given day;
(4)
More than one day of care, per participant, per day; and
(5)
A day of care provided on the same day that the following services are provided and billed to the Department:
(a)
Day habilitation services under COMAR 10.09.26;
(b)
Supported employment services under COMAR 10.09.26;
(c)
Programs of All-Inclusive Care for the Elderly under COMAR 10.09.44;
(d)
Senior center plus services under COMAR 10.09.54;
(e)
Adult day care reimbursed under the State of Maryland's human service contracts; or
(f)
On-site psychiatric rehabilitation services under COMAR 10.09.59.