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<regulation prefix="Regulation" num=".01" citation="COMAR 10.09.48.01" title_num="10" subtitle_num="09" chapter_num="48" 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>“Annually” means within 365 days.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Applicant” means the individual who files an application for services with the DDA.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Community Coordination Services” means provision of core services to individuals receiving ongoing DDA funding for comprehensive community services.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Community resources” means generic, local, State, or federal programs, services, benefits, and supports.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Comprehensive assessment” means an assessment of the applicant’s needs and supports to enable the DDA to determine the applicant’s eligibility for DDA funding of comprehensive community services.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Comprehensive Community Services.</text>
      <paragraph num="(a)">
        <text>“Comprehensive community services” means services funded by the DDA for residential, day, employment, or supports services.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Comprehensive community services” does not mean funding for low intensity support services or coordination of community services.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>“Contact” means a face-to-face meeting, phone conversation, or written correspondence related to the covered services in this chapter.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Coordination of community services” means the provision of targeted case management services that assist participants in gaining access to the full range of medical assistance services, as well as access to any additional needed generic, medical, social, habilitative, employment, recreational, housing, financial, counseling, legal, educational, and other support services.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Coordinator of community services” means an individual employed by the coordination of community services agency to assist participants in selecting, obtaining, and monitoring the most responsive and appropriate services and supports.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Coordination of community services supervisor” means an individual who is employed to oversee coordination of community services and performance of coordinators of community services.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Core services” means the following community services:</text>
      <paragraph num="(a)">
        <text>Comprehensive assessment;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Development of the person-centered plan;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Referrals and related activities; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Monitoring and follow-up.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(12)">
      <text>“Critical incident” means a reportable event that presents an immediate and serious threat of injury, harm, impairment, or death of an individual.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>“Department” means the Maryland Department of Health, which is the single State agency designated to administer the Maryland Medical Assistance Program pursuant to Title XIX of the Social Security Act, 42 U.S.C. §1396 et seq.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>“Developmental Disabilities Administration (DDA)” means that agency of the Department which, under Health General Article, Title 7, Annotated Code of Maryland, is charged with the responsibility for providing services to individuals with developmental disability.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“Developmental disability” has the same meaning as set forth in Health-General Article, §7-101, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(16)">
      <text>“Entity” means a facility, agency, organization, department, office, corporation, partnership, group, or individual.</text>
    </paragraph>
    <paragraph num="(17)">
      <text>“Generic” means programs, services, or supports which are available to the community at large.</text>
    </paragraph>
    <paragraph num="(18)">
      <text>“Goal” means measurable activity that is required to achieve progress toward an outcome.</text>
    </paragraph>
    <paragraph num="(19)">
      <text>“Medicaid waiver programs” means any program under §1915(c) of the Social Security Act.</text>
    </paragraph>
    <paragraph num="(20)">
      <text>“Medical Assistance Program” means the program of comprehensive medical and other health-related care for indigent and medically indigent persons.</text>
    </paragraph>
    <paragraph num="(21)">
      <text>“Most integrated setting” means a setting that enables a participant with a disability to interact with nondisabled individuals other than staff to the fullest extent possible.</text>
    </paragraph>
    <paragraph num="(22)">
      <text>“Outcome” means tangible results of goals that reflect the desired quality of life as defined by the individual.</text>
    </paragraph>
    <paragraph num="(23)">
      <text>“Participant” means an individual who meets the qualifications for participation in coordination of community services as specified in Regulation .03 of this chapter.</text>
    </paragraph>
    <paragraph num="(24)">
      <text>Person-Centered Plan.</text>
      <paragraph num="(a)">
        <text>“Person-centered plan” means a written plan that is developed through a planning process driven by the participant with a developmental disability to:</text>
        <paragraph num="(i)">
          <text>Identify the participant’s goals and preferences;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Identify services to support the participant in pursuing the participant’s personally defined outcomes in the most integrated community setting;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Direct the delivery of services that reflect the participant’s personal preferences and choice; and</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Identify the participant’s specific needs that must be addressed to ensure the participant’s health and welfare.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>“Person-centered plan” includes an individual plan as referenced in COMAR 10.22.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(25)">
      <text>“Person-directed supports” means service and supports that empower the participant, and the legally authorized representative on the participant’s behalf, to direct the development and implementation of a plan of supports and services that meet the participant’s personal goals.</text>
    </paragraph>
    <paragraph num="(26)">
      <text>Place of Service.</text>
      <paragraph num="(a)">
        <text>“Place of service” means the place where participants receive services.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Place of service” includes but is not limited to the participant’s home, day program, group home, alternate living arrangement, or place of employment.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(27)">
      <text>“Program” means the Medical Assistance Program as defined in COMAR 10.09.36.01.</text>
    </paragraph>
    <paragraph num="(28)">
      <text>“Provider” means an entity that meets the conditions for participation specified in Regulation .04 of this chapter, and is authorized by DDA to provide coordination of community services.</text>
    </paragraph>
    <paragraph num="(29)">
      <text>“Reportable events” means specified incidents and complaints noted in the DDA Policy on Reportable Incidents and Investigations (PORII), as required under COMAR 10.22.02.01 and established to ensure the health, safety, and welfare of participants receiving services from DDA-funded providers.</text>
    </paragraph>
    <paragraph num="(30)">
      <text>“Representative” means a person who:</text>
      <paragraph num="(a)">
        <text>Is chosen by the participant to represent the participant’s needs and may include:</text>
        <paragraph num="(i)">
          <text>A family representative;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>An informal caregiver; or</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Any other individual chosen by the participant; or</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Is recognized by the DDA as a legally appointed guardian qualified to act on the participant’s behalf with respect to services covered under this chapter.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(31)">
      <text>“Service record” means all past and current health, eligibility, request for service change, service funding plan, person-centered plan, and coordination of community services documents and records.</text>
    </paragraph>
    <paragraph num="(32)">
      <text>“State programs” means programs, services, or supports offered by the State.</text>
    </paragraph>
    <paragraph num="(33)">
      <text>Targeted Case Management.</text>
      <paragraph num="(a)">
        <text>“Targeted case management” means an optional service allowed under federal Medicaid rules which includes services to assist target populations of Medicaid participants to gain access to needed medical, social, educational, and other services.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Targeted case management” includes:</text>
        <paragraph num="(i)">
          <text>Performance of a comprehensive assessment and periodic reassessment of participant needs, to determine the need for any medical, educational, social, or other services;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Provision of waiting list coordination services;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Provision of community coordination services; and</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Provision of transition coordination services.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(34)">
      <text>“Transition Coordination Services” means provision of core services to participants transitioning to the community from an institution.</text>
    </paragraph>
    <paragraph num="(35)">
      <text>“Unit of service” means 15 minutes of services covered under this chapter, excluding the comprehensive assessment.</text>
    </paragraph>
    <paragraph num="(36)">
      <text>“Waiting list” means participants found eligible for services in the crisis resolution, crisis prevention, or current request priority category as set forth in COMAR 10.22.12.07B.</text>
    </paragraph>
    <paragraph num="(37)">
      <text>“Waiting List Coordination Services” means provision of core services to participants on the DDA waiting list.</text>
    </paragraph>
  </paragraph>
</regulation>