<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.09.32.05" title_num="10" subtitle_num="09" chapter_num="32" heading="Limitations.">
  <paragraph num="A.">
    <text>HIV-targeted case management shall be advisory in nature.</text>
  </paragraph>
  <paragraph num="B.">
    <text>A restriction may not be placed on qualified recipients' option to receive HIV case management services.</text>
  </paragraph>
  <paragraph num="C.">
    <text>HIV-targeted case management does not restrict or otherwise affect:</text>
    <paragraph num="(1)">
      <text>Eligibility for Title XIX benefits or other available benefits or programs;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The freedom of a recipient to select from all available services for which the individual is found to be eligible; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The participant's free choice of qualified providers.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>HIV-targeted case management may not be:</text>
    <paragraph num="(1)">
      <text>Provided as an integral and inseparable part of another covered Program service;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Provided as an administrative function;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Rendered in connection with the implementation of the Social Security Act, §1915(b) or 1915(c); or</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Part of institutional discharge planning.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Reimbursement may not be made for HIV-targeted case management services if the participant is:</text>
    <paragraph num="(1)">
      <text>Eligible to receive services under the Maryland Medicaid Managed Care Program, as defined in COMAR 10.09.62; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Receiving comparable case management services under:</text>
      <paragraph num="(a)">
        <text>The Rare and Expensive Case Management Program, as defined in COMAR 10.09.69; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Under another Program authority.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>A participant's case manager may not be a direct services provider for the participant.</text>
  </paragraph>
</regulation>