<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".11" citation="COMAR 10.09.20.11" title_num="10" subtitle_num="09" chapter_num="20" heading="Covered Services — Nurse Monitoring.">
  <paragraph num="A.">
    <text>The Program covers the following services when provided by a nurse monitor:</text>
    <paragraph num="(1)">
      <text>Being available to give instruction and to answer questions;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Complying with the Department’s reportable events policy; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Maintaining an up-to-date client profile in an electronic database designated by the Department.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The Program covers nurse monitoring services according to the following schedule:</text>
    <paragraph num="(1)">
      <text>Contact with the participant for the purpose of reviewing participant status at a minimum of every 6 months with at least one in-person home or workplace visit every 12 months; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Additional nurse monitoring services at a frequency established in conjunction with the participant or, when applicable, the participant’s representative, based on the participant’s medical condition or clinical status.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Home and Workplace Visits.</text>
    <paragraph num="(1)">
      <text>The nurse monitoring provider shall use the home or workplace visit for the following purposes:</text>
      <paragraph num="(a)">
        <text>To assess the participant’s condition;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>To assess the quality of personal assistance services; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>To determine the need for discharge from personal assistance services or referral to other services.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The nurse monitor shall assess the quality of personal assistance services by:</text>
      <paragraph num="(a)">
        <text>Reviewing documentation related to the provision of personal assistance services; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Observing the performance of the worker, as appropriate.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>