# COMAR Title 10 — Maryland Department of Health

## Subtitle 09 — Medical Care Programs

### Chapter 26 — Community Based Services for Developmentally Disabled Individuals Pursuant to a 1915(c) Waiver

#### Regulation .09 Conditions for Reimbursement.

*COMAR 10.09.26.09*

The Department shall reimburse for services in Regulations .04—.08-5 of this chapter when they are:

A. Provided to waiver participants;

B. With the exception of medical day care services, contained in the waiver participant's plan of care, approved initially and within 12 months after that by a:

  (1) Licensed physician;

  (2) Licensed physician's assistant or licensed nurse practitioner in accordance with applicable law; or

  (3) Qualified developmental disabilities professional; and

C. With the exception of medical day care services, adequately described in the progress notes in the waiver participant's record, signed and dated by a qualified developmental disabilities professional.