<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.09.07.06" title_num="10" subtitle_num="09" chapter_num="07" heading="Limitations.">
  <paragraph num="A.">
    <text>Medical day care services are not covered for:</text>
    <paragraph num="(1)">
      <text>Individuals who do not meet the definition of “participant” in Regulation .01B of this chapter; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Individuals younger than 16 years old.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Covered services do not include:</text>
    <paragraph num="(1)">
      <text>Days of service in excess of the frequency specified in the participant’s home and community based services waiver service plan;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Services which are not part of those services listed in Regulation .05 of this chapter;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Services for a number of participants that exceeds the provider’s licensed capacity on a given day;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>More than one day of care, per participant, per day; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>A day of care provided on the same day that the following services are provided and billed to the Department:</text>
      <paragraph num="(a)">
        <text>Day habilitation services under COMAR 10.09.26;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Supported employment services under COMAR 10.09.26;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Programs of All-Inclusive Care for the Elderly under COMAR 10.09.44;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Senior center plus services under COMAR 10.09.54;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Adult day care reimbursed under the State of Maryland's human service contracts; or</text>
      </paragraph>
      <paragraph num="(f)">
        <text>On-site psychiatric rehabilitation services under COMAR 10.09.59.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>