Regulation .04 Covered Services.
Regulation .04 Covered Services.LinkCopy Citation
A.
The Program covers the services listed in §B and C of this regulation when the services are:
(1)
Necessary to identify the need for a health-related service or health-related early intervention service;
(2)
Necessary to:
(a)
Prevent disease, disability, and other health conditions or their progression; and
(b)
Promote physical and mental health and efficiency;
(3)
Necessary for the maximum reduction of physical or mental disability and restoration of a participant to the participant's best possible functional level; and;
(4)
Rendered in accordance with accepted professional standards.
B.
The following services are covered under this chapter when delivered in accordance with an IEP or an IFSP, which is developed at the time of referral for health-related services or health-related early intervention services:
(1)
Audiology services, which include the identification, evaluation, and treatment of auditory impairments;
(2)
Nursing services, which:
(a)
Are related to an identified health problem;
(b)
Except for nursing assessments, are ordered by a licensed prescriber;
(c)
Are indicated in the nursing care plan, which is reviewed at least every 60 days and more frequently when the child's medical condition changes; and
(d)
Require the judgment, knowledge, and skills of a licensed nurse;
(3)
Nutrition services which include conducting assessments of nutritional history and dietary intake and developing and monitoring appropriate plans to address a participant’s nutritional needs;
(4)
Occupational therapy services, which include any screening, evaluations, or treatments necessary to implement a program of activities, with the goal to develop or maintain the adaptive skills necessary to achieve a participant’s adequate and appropriate physical and mental functioning;
(5)
Physical therapy services, which include screening and evaluations necessary to determine a participant’s level of functioning, as well as any treatment, which may use therapeutic exercises for the purpose of preventing, restoring, or alleviating a movement dysfunction and related functional problems;
(6)
Psychological services, which include the evaluation, diagnosis, and treatment of emotional or behavioral problems in order for a participant to benefit from an educational or early intervention program including the counseling of parents and parent training when the participant is present;
(7)
Speech-language pathology services, which include, diagnosis, evaluation, or treatment; and
(8)
Therapeutic behavioral services which:
(a)
Includes one-to-one services by a trained therapeutic behavior aide; and
(b)
Is supervised by a licensed physician or authorized practitioner under Health Occupations Article, Annotated Code of Maryland.
C.
Psychological services, as described in §B(6) of this regulation, are covered under this chapter even if the services are not delivered in accordance with an IEP or an IFSP.