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<regulation prefix="Regulation" num=".01" citation="COMAR 10.09.40.01" title_num="10" subtitle_num="09" chapter_num="40" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Department” means the Department as defined in COMAR 10.09.36.01.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Developmental areas” means cognitive development, physical development (including fine and gross motor and sensory development), speech and language development, psychological development, and self-help skills.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Developmental delay” has the meaning stated in COMAR 13A.13.01.03B.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Early intervention services” means services defined in COMAR 13A.13.01.03B(15) that:</text>
      <paragraph num="(a)">
        <text>Are designed to meet the developmental needs of infants and toddlers with disabilities;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Are provided under public supervision and in conformity with an IFSP; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Meet applicable State and federal standards.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>“Early intervention service coordination” means the coordination of services covered under this chapter.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Family” means those individuals with whom a participant resides, who are responsible for the participant, are the primary nurturing caregivers, and have assumed major, long-term roles in the infant or toddler's daily life.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Individualized Family Service Plan (IFSP)” means a participant's written plan for early intervention services which is developed or revised by a multidisciplinary team based on the results of a multidisciplinary assessment or reassessment and is documented in accordance with guidelines issued by the Maryland Infants and Toddlers Program.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Local health department” means the public health services agency in each county and Baltimore City, which receives State and local government funding to ensure that basic public health services in the areas of personal and environmental health are available in each jurisdiction.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Maryland Infants and Toddlers Program” means the program designated by the Governor under Executive Order 01.01.1988.15 to plan, develop, and implement a Statewide, coordinated, comprehensive, multidisciplinary, interagency plan for early intervention services in Maryland.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Medical Assistance Program” means the Medical Assistance Program as defined in COMAR 10.09.36.01.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Medically necessary” has the meaning stated in COMAR 10.09.36.01.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Multidisciplinary assessment or reassessment” means the process used by a participant's multidisciplinary team to review the child's unique needs, the family's ability to assist in meeting needs related to the child's development, and the nature and extent of early intervention and other services needed by the child.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>“Multidisciplinary team” means the involvement of two or more disciplines or professions in the provision of integrated and coordinated services, including evaluation and assessment activities and the development of the IFSP.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>“Parent” has the meaning stated in COMAR 13A.13.01.03B.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“Participant” means a federally qualified recipient:</text>
      <paragraph num="(a)">
        <text>Who is aged birth to the beginning of the school year following the child’s fourth birthday;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Whose parents have provided written consent for the use of public benefits consistent with COMAR 13A.13.01.12;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Who is not receiving the same service coordination services under another Program authority; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Who is defined as a child with a developmental delay as defined in COMAR 13A.13.01.03.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(16)">
      <text>“Program” means the Program as defined in COMAR 10.09.36.01.</text>
    </paragraph>
    <paragraph num="(17)">
      <text>“Provider” means an early intervention service coordination provider.</text>
    </paragraph>
    <paragraph num="(18)">
      <text>“Service coordination” means the services provided, as part of the Maryland Infants and Toddlers Program, which assists participants in gaining access to the full range of Medical Assistance services, as well as to any additional needed medical, social, mental health, financial assistance, counseling, educational, and other support services.</text>
    </paragraph>
    <paragraph num="(19)">
      <text>“Service coordinator” means an individual who:</text>
      <paragraph num="(a)">
        <text>Is utilized by the provider and chosen by the participant’s parent;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is designated to carry out the IFSP service coordination activities;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Meets the requirements in Regulation .03C of this chapter; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Provides the services specified in Regulation .04 of this chapter.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(20)">
      <text>“Telehealth” has the meaning as stated in COMAR 10.09.49.02.</text>
    </paragraph>
  </paragraph>
</regulation>