<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".02" citation="COMAR 10.09.30.02" title_num="10" subtitle_num="09" chapter_num="30" heading="Definitions.">
  <paragraph num="A.">
    <text>The following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Comprehensive evaluation” means the assessment performed by a nurse or social worker, or both, using the tools designated by the Department, of a participant’s medical, social, and functional status by:</text>
      <paragraph num="(a)">
        <text>Direct observation of the participant;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Contact, as appropriate, with the participant's representative; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Financial eligibility screening.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>“Department” means Maryland Department of Health.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Financial eligibility screening” means the determination of whether an individual qualifies financially as a participant.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Geriatric Evaluation Services (GES)” means the assessment that is required to admit an individual to a State facility or Veteran’s Administration hospital.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Nurse” means a person who is licensed as a registered nurse in the jurisdiction in which services are provided.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Nurse practitioner” means a person who is licensed as a nurse practitioner in the jurisdiction in which services are provided.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Participant” means a Medicaid recipient or an individual who would be able to establish financial eligibility under the Program within 6 months of admission to a nursing facility, whose needs may not be adequately met in an episodic ambulatory care setting, and who may require continuing institutional or community based long-term care services.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Plan of care” means the written long term care plan composed of a comprehensive evaluation of the participant’s health status including:</text>
      <paragraph num="(a)">
        <text>Pertinent diagnoses;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Psychosocial status;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Functional status; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Type of services recommended.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(9)">
      <text>“Preadmission Screening and Resident Review (PASRR)” means the screening or reviewing of all individuals with mental illness or intellectual disability who apply to or reside in Medicaid-certified nursing facilities.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Program” has the same meaning as defined in COMAR 10.09.36.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Provider” means a local health department, or when necessary, a contracted agency:</text>
      <paragraph num="(a)">
        <text>Providing the comprehensive evaluation through an appropriate agreement with the Department and identified as a Program provider by the issuance of an individual account number;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Employing nurses and social workers to provide the comprehensive evaluation; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Demonstrating experience in providing assessment and evaluation services and in developing plans of care.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(12)">
      <text>“Provider agreement” means a contract between the Department and the provider of STEPS specifying the:</text>
      <paragraph num="(a)">
        <text>Services to be performed;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Methods of operation; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Financial and legal requirements which shall be in force before Program participation.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(13)">
      <text>“Psychiatrist” means a person who is licensed as a psychiatrist in the jurisdiction in which services are provided.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>“Psychologist” means a person who is licensed as a psychologist in the jurisdiction in which services are provided.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“Social worker” means a person who is licensed as a social worker in the jurisdiction in which services are provided.</text>
    </paragraph>
  </paragraph>
</regulation>