<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".08-2" citation="COMAR 10.09.26.08-2" title_num="10" subtitle_num="09" chapter_num="26" heading="Covered Services for Residential Option Services.">
  <paragraph num="A.">
    <text>Residential option services are available as an alternative to residential habilitation for those waiver participants who:</text>
    <paragraph num="(1)">
      <text>Have followed DDA's application procedures according to COMAR 10.22.11;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Are determined by DDA to be able to live safely in a home of the waiver participant's choosing and who are in need of at least one residential option service; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Elect, or have an authorized representative elect in the waiver participant's behalf, to receive residential option services.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>These services shall be provided, as required and recommended in the waiver participant's ISP, as being appropriate and necessary to assist the waiver participant in living successfully in a home of the waiver participant's choosing. Residential option services include the services specified in Sec. C--E of this regulation.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Personal Assistance.</text>
    <paragraph num="(1)">
      <text>Services under COMAR 10.09.20 may not be reimbursed for a waiver participant receiving personal assistance under this chapter.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Personal assistance services provide necessary assistance for waiver participants living in their own homes or family homes to meet their daily living needs and to ensure adequate functioning in the community. They include the following services, when they do not have a habilitative objective:</text>
      <paragraph num="(a)">
        <text>Housekeeping assistance which is directly related to the waiver participant's developmental disability and which is necessary for the waiver participant's health and well-being in the home, such as:</text>
        <paragraph num="(i)">
          <text>Changing bed linens,</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Straightening the area used by the waiver participant,</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Doing the waiver participant's personal laundry and linens, and</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Maintenance of kitchen area if food preparation is necessary;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Menu planning, food shopping, meal preparation, and assistance with eating;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Personal hygiene and grooming, including oral and denture care, shaving, and care of skin, nails, and hair;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Cleaning and maintaining adaptive devices such as wheelchairs; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Assurance of health and safety.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Support Services.</text>
    <paragraph num="(1)">
      <text>Support services are necessary to aid the waiver participant to participate in community life as is typical in the community.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Support services include the following:</text>
      <paragraph num="(a)">
        <text>Guidance to optimize the waiver participant's capability of living in the community at home;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Facilitating community participation by assisting with linkages to community activities, organizations, or associations;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Assisting with budgeting, banking, tax preparation, and financial management;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Assisting with accessing and managing government and community resources; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Assisting the waiver participant with securing and maintaining housing.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>24-Hour Emergency Assistance.</text>
    <paragraph num="(1)">
      <text>These emergency assistance services are utilized to provide a waiver participant with access to a highly responsive form of back-up services in the event of an emergency, without dictating that the waiver participant be subject to on-site 24-hour supervision.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The access to 24-hour emergency assistance shall be adapted to the skills and needs of the waiver participant and may include the use of an emergency telephone number, a pager, or other appropriate technology.</text>
    </paragraph>
  </paragraph>
</regulation>