<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.09.50.04" title_num="10" subtitle_num="09" chapter_num="50" heading="Covered Services.">
  <paragraph num="A.">
    <text>The Program covers the services listed in §B and C of this regulation when the services are:</text>
    <paragraph num="(1)">
      <text>Necessary to identify the need for a health-related service or health-related early intervention service;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Necessary to:</text>
      <paragraph num="(a)">
        <text>Prevent disease, disability, and other health conditions or their progression; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Promote physical and mental health and efficiency;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Necessary for the maximum reduction of physical or mental disability and restoration of a participant to the participant's best possible functional level; and;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Rendered in accordance with accepted professional standards.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>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:</text>
    <paragraph num="(1)">
      <text>Audiology services, which include the identification, evaluation, and treatment of auditory impairments;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Nursing services, which:</text>
      <paragraph num="(a)">
        <text>Are related to an identified health problem;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Except for nursing assessments, are ordered by a licensed prescriber;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>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</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Require the judgment, knowledge, and skills of a licensed nurse;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Speech-language pathology services, which include, diagnosis, evaluation, or treatment; and</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Therapeutic behavioral services which:</text>
      <paragraph num="(a)">
        <text>Includes one-to-one services by a trained therapeutic behavior aide; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is supervised by a licensed physician or authorized practitioner under Health Occupations Article, Annotated Code of Maryland.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>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.</text>
  </paragraph>
</regulation>