To participate in the Program, the participant shall: Be determined by the Department to need assistance with one or more activities of daily living; Be eligible for Medicaid under an eligibility coverage group described in COMAR 10.09.24, except for Regulations .03C, .03-1—.03-3, and .05-2; and Reside at home. To be eligible for participation, a participant shall have an active plan of service. The plan of service shall: Be based on: The evaluation and recommended plan of care; and Consultation with the applicant or participant; Address the applicant’s or participant’s health and safety needs; Specify the services needed to safely support the participant in the community, including a plan for receiving personal assistance services in case of an emergency; Specify the provider agency providing personal assistance services; and Include the signature of the: Participant or, when applicable, the individual’s representative; Supports planner; and Personal assistance provider agency listed within the plan of service. A participant’s eligibility for services shall be re-evaluated by the Department every 12 months, or more frequently if needed due to a significant change in the participant’s condition or needs. Participant eligibility shall be terminated if the participant: No longer meets the required level of care; No longer resides at home; Is without personal assistance services for 30 consecutive calendar days; Voluntarily chooses, or the participant’s legal representative chooses on the participant’s behalf, to disenroll from the Program; Moves to another state; Is an inpatient for 30 consecutive days or more in an institutional setting, including but not limited to a chronic hospital or nursing facility; or Dies.