# COMAR Title 10 — Maryland Department of Health

## Subtitle 09 — Medical Care Programs

### Chapter 20 — Community Personal Assistance Services

#### Regulation .09 Covered Services — Personal Assistance.

*COMAR 10.09.20.09*

A. The Program covers personal assistance services that are approved in the plan of service and rendered to a participant by a qualified provider in the participant’s home or a community setting.

B. The Program covers the following services when provided by a personal assistance provider:

  (1) Assistance with activities of daily living;

  (2) Delegated nursing functions if this assistance is:

    (a) Specified in the participant’s plan of service; and

    (b) Rendered in accordance with the Maryland Nurse Practice Act, COMAR 10.27.11, and other requirements of the Maryland Board of Nursing;

  (3) Assistance with tasks requiring judgment to protect a participant from harm or neglect;

  (4) Assistance with or completion of instrumental activities of daily living, provided in conjunction with the services covered under §B(1)—(3) of this regulation; and

  (5) Assistance with the participant’s self-administration of medications, or administration of medications or other remedies, when ordered by a physician.

C. Personal assistance services may not include:

  (1) Services rendered to anyone other than the participant or primarily for the benefit of anyone other than the participant;

  (2) The cost of food or meals prepared in or delivered to the home or otherwise received in the community; or

  (3) Housekeeping services, other than those incidental to services covered under §B of this regulation.