<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".09" citation="COMAR 10.09.20.09" title_num="10" subtitle_num="09" chapter_num="20" heading="Covered Services — Personal Assistance.">
  <paragraph num="A.">
    <text>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.</text>
  </paragraph>
  <paragraph num="B.">
    <text>The Program covers the following services when provided by a personal assistance provider:</text>
    <paragraph num="(1)">
      <text>Assistance with activities of daily living;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Delegated nursing functions if this assistance is:</text>
      <paragraph num="(a)">
        <text>Specified in the participant’s plan of service; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Rendered in accordance with the Maryland Nurse Practice Act, COMAR 10.27.11, and other requirements of the Maryland Board of Nursing;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Assistance with tasks requiring judgment to protect a participant from harm or neglect;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>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</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Assistance with the participant’s self-administration of medications, or administration of medications or other remedies, when ordered by a physician.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Personal assistance services may not include:</text>
    <paragraph num="(1)">
      <text>Services rendered to anyone other than the participant or primarily for the benefit of anyone other than the participant;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The cost of food or meals prepared in or delivered to the home or otherwise received in the community; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Housekeeping services, other than those incidental to services covered under §B of this regulation.</text>
    </paragraph>
  </paragraph>
</regulation>